Secukinumab for Treatment of Atopic Dermatitis



Status:Completed
Conditions:Psoriasis, Dermatology, Dermatology, Dermatology
Therapuetic Areas:Dermatology / Plastic Surgery
Healthy:No
Age Range:18 - Any
Updated:8/24/2018
Start Date:November 2015
End Date:January 30, 2018

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A Pilot Study to Evaluate the Efficacy and Safety of Secukinumab in the Treatment of Moderate to Severe Atopic Dermatitis

Atopic Dermatitis, also known as atopic eczema, or eczema, is a common skin disease that can
affect males and females of all ages, but often starts in childhood. Recent studies show at
least 4-7% of adults and 15-25% of children to be affected, with one third of patients having
severe disease. It results in very itchy, red, swollen, and cracked skin. Scratching worsens
the symptoms and causes the skin to become thickened over time. Patients with atopic
dermatitis have an increased risk of skin infections, and many also develop hay fever or
asthma. Atopic dermatitis can cause significant distress to both patients and their families.

In this study, the aim is to assess the effects of a new treatment called secukinumab in
patients with atopic dermatitis. A total of 30 patients will be included in the study, which
will run for a total of 52 weeks.

This is a randomized, double-blind, pilot study of a total of 44 subjects with AD (22 with
intrinsic and 22 with extrinsic AD) consisting of 2 phases. Subjects will be randomized (2:1)
to either receive secukinumab 300 mg or placebo via subcutaneous injection using 2 prefilled
syringes.

Inclusion Criteria:

- Male or female subject at least 18 years of age

- If female, the subject is not pregnant or nursing

- Subject is able to provide written informed consent and comply with the requirements
of this study protocol.

- Chronic (>6 months) atopic dermatitis (intrinsic disease with IgE levels that are
below 200, and extrinsic disease with IgE levels above 200).

- Moderate to severe AD (SCORAD index ≥25, and IGA index≥3).

- Subjects who are women of childbearing potential must have a negative urine pregnancy
test at screening and must be practicing an adequate, medically acceptable method of
birth control for at least 30 days before Day 0 and at least 6 months after the last
study drug administration. Acceptable methods of birth control include intrauterine
device (IUD); oral, transdermal, implanted or injected hormonal contraceptives (must
have been initiated at least 1 month before entering the study); tubal ligation;
abstinence and barrier methods with spermicide. Otherwise, if not of childbearing
potential, subjects must: have a sterile or vasectomized partner; have had a
hysterectomy, a bilateral oophorectomy or be clinically diagnosed infertile; or be in
a menopausal state for at least a year.

- Tuberculin purified protein derivative (PPD) or QuantiFERON TB-Gold test (QFT)
negative at the time of screening, or if patient has a history of positive PPD or
QuantiFERON, he/she has completed the appropriate prophylaxis.

- Subject is judged to be in good general health as determined by the principal
investigator based upon the results of medical history, laboratory profile, and
physical examination.

- Patients with stable chronic asthma, treated with inhaled corticosteroids, will be
allowed to participate.

Exclusion Criteria:

- Male or female subject at least 18 years of age

- If female, the subject is not pregnant or nursing

- Subject is able to provide written informed consent and comply with the requirements
of this study protocol.

- Chronic (>6 months) atopic dermatitis (intrinsic disease with IgE levels that are
below 200, and extrinsic disease with IgE levels above 200).

- Moderate to severe AD (SCORAD index ≥25, and IGA index≥3).

- Subjects who are women of childbearing potential must have a negative urine pregnancy
test at screening and must be practicing an adequate, medically acceptable method of
birth control for at least 30 days before Day 0 and at least 6 months after the last
study drug administration. Acceptable methods of birth control include intrauterine
device (IUD); oral, transdermal, implanted or injected hormonal contraceptives (must
have been initiated at least 1 month before entering the study); tubal ligation;
abstinence and barrier methods with spermicide. Otherwise, if not of childbearing
potential, subjects must: have a sterile or vasectomized partner; have had a
hysterectomy, a bilateral oophorectomy or be clinically diagnosed infertile; or be in
a menopausal state for at least a year.

- Tuberculin purified protein derivative (PPD) or QuantiFERON TB-Gold test (QFT)
negative at the time of screening, or if patient has a history of positive PPD or
QuantiFERON, he/she has completed the appropriate prophylaxis.

- Subject is judged to be in good general health as determined by the principal
investigator based upon the results of medical history, laboratory profile, and
physical examination.

- Patients with stable chronic asthma, treated with inhaled corticosteroids, will be
allowed to participate.
We found this trial at
1
site
1428 Madison Ave
New York, New York 10029
(212) 241-6500
Principal Investigator: Emma Guttman, MD, PhD
Icahn School of Medicine at Mount Sinai Icahn School of Medicine at Mount Sinai is...
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mi
from
New York, NY
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