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| Name | Class |
|---|---|
| Glenmark Pharmaceuticals S.A. | INDUSTRY |
The purpose of this study is to determine the effect of GBR 830 on biomarkers in atopic dermatitis to enable further studies in this indication.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GBR 830 | Experimental | Two doses of GBR 830, 10 mg/kg (solution for infusion, prepared in normal saline) administered intravenously (IV) four weeks apart. |
|
| Placebo | Placebo Comparator | Two doses of placebo (formulation buffer for infusion, prepared in normal saline) administered IV four weeks apart. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GBR 830 | Biological |
| ||
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Treatment-Emergent Adverse Events | A treatment-emergent adverse event (TEAE) was defined as any new adverse event (AEs) or worsening of an existing condition after administration of the study drug up to and including the follow-up visit. | 16 weeks |
| Change From Baseline in Thickness of Lesional Skin Biopsies | Epidermal thickness was assessed in Hematoxylin and Eosin stained sections of lesional skin biopsies on Day 1 (baseline), Day 29, and Day 71. | Day 1, before dosing (baseline), and Day 29 and Day 71, after dosing. |
| Change From Baseline in Ratio of Active Atopic Dermatitis Messenger Ribonucleic Acid (mRNA) Expression (Normalized to Human Acidic Ribosomal Protein [hARP]) in Lesional Skin Biopsies | Ratio of post-baseline/baseline value of messenger ribonucleic acid (mRNA) expression in lesional skin biopsies is reported. | 71 days |
| Measure | Description | Time Frame |
|---|---|---|
| Percent Change in Eczema Area and Severity Index (EASI) Clinical Scores From Baseline | In EASI, four disease characteristics of atopic dermatitis (erythema, edema/papulation, excoriation, and lichenification) are assessed for severity on a scale of 0 (absent), 1 (mild), 2 (moderate), 3 (severe). The scores are added up for each of the four body regions (Head and neck, trunk, arms, and legs). The assigned percentages of body surface area (BSA) for each section of the body are 10% for head and neck, 20% for arms, 30% for trunk, and 40% for legs, respectively. Each subtotal score is multiplied by the BSA represented by that region. In addition, an area score of 0 to 6 is assigned for each body region, depending on the percentage of AD-affected skin in that area: 0 (none), 1 (1% to 9%), 2 (10% to 29%), 3 (30% to 49%), 4 (50% to 69%), 5 (70% to 89%), or 6 (90% to 100%). Each of the body area scores are multiplied by the area affected. The resulting EASI score ranges from 0 to 72 points, with the highest score indicating worse severity of AD. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gerhard Wolff, MD | Glenmark Pharmaceuticals S.A. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Glenmark Investigational Site 14 | Rogers | Arkansas | 72759 | United States | ||
| Glenmark Investigational Site 5 |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30738171 | Result | Guttman-Yassky E, Pavel AB, Zhou L, Estrada YD, Zhang N, Xu H, Peng X, Wen HC, Govas P, Gudi G, Ca V, Fang H, Salhi Y, Back J, Reddy V, Bissonnette R, Maari C, Grossman F, Wolff G. GBR 830, an anti-OX40, improves skin gene signatures and clinical scores in patients with atopic dermatitis. J Allergy Clin Immunol. 2019 Aug;144(2):482-493.e7. doi: 10.1016/j.jaci.2018.11.053. Epub 2019 Feb 6. |
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| ID | Title | Description |
|---|---|---|
| FG000 | GBR 830 | Two doses of GBR 830, 10 mg/kg (solution for infusion, prepared in normal saline) administered intravenously (IV) four weeks apart |
| FG001 | Placebo | Two doses of placebo (formulation buffer for infusion, prepared in normal saline) administered IV four weeks apart |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Feb 16, 2017 | Feb 26, 2020 |
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|
| Day 4, Day 29, Day 57, Day 71 |
| Percentage of Participants Who Achieved an Investigator's Global Assessment (IGA) Clinical Score of 0 or 1 | The IGA is an assessment scale used in clinical studies to determine severity of AD based on a 5-point scale ranging from 0 (clear) to 4 (severe/very severe). | Day 4, Day 29, Day 57, Day 71 |
| Pharmacokinetics of GBR 830 in Terms of Cmax After First and Second Dose. | Pharmacokinetics in terms of Cmax (maximum observed concentration after second [last] dosing interval) was estimated after the first and second dose. | Blood samples were collected on Day 1 and Day 29: pre-dose (15 mins), end of infusion (1 hour) and 1.5, 2, 72, and 504 hours post start of infusion |
| Pharmacokinetics of GBR 830 in Terms of AUC0-tau After the First and Second Dose. | Pharmacokinetics in terms of AUC0-tau [Trapezoid calculation of area under the serum drug concentration-time curve from time zero (pre dose time point of the infusion) to the end of the dosing interval] was estimated. | Blood samples were collected on Day 1 and Day 29: pre-dose (15 mins), end of infusion (1 hour) and 1.5, 2, 72, and 504 hours post start of infusion |
| Number of Participants Positive or Negative for Anti-drug Antibodies (ADA) to GBR 830 to Evaluate Immunogenicity | Blood samples were collected at time points to detect anti-drug antibodies (ADAs) to GBR 830, as per procedures similar to collection of PK samples. Antibodies of GBR 830 were detected and confirmed using a validated enzyme-linked immunosorbent assay (ELISA) method. | Samples collected for immunogenicity analysis at Baseline (pre-dose), and at Day 15, Day 29 (pre-dose), Day 57, and Day 85. |
| Los Angeles |
| California |
| 90045 |
| United States |
| Glenmark Investigational Site 3 | San Diego | California | 92123 | United States |
| Glenmark Investigational Site 15 | Tampa | Florida | 33624 | United States |
| Glenmark Investigational Site 11 | St Louis | Missouri | 63117 | United States |
| Glenmark Investigational Site 16 | Berlin | New Jersey | 08009 | United States |
| Glenmark Investigational Site 1 | New York | New York | 10029 | United States |
| Glenmark Investigational Site 9 | Raleigh | North Carolina | 27612 | United States |
| Glenmark Investigational Site 13 | Fairborn | Ohio | 45324 | United States |
| Glenmark Investigational Site 2 | Dallas | Texas | 75230 | United States |
| Glenmark Investigational Site 17 | Katy | Texas | 77494 | United States |
| Glenmark Investigational Site 12 | Webster | Texas | 77598 | United States |
| Glenmark Investigational Site 8 | Markham | Ontario | L3P 1X2 | Canada |
| Glenmark Investigational Site 7 | Peterborough | Ontario | K9J 5K2 | Canada |
| Glenmark Investigational Site 6 | Richmond Hill | Ontario | L4C 9M7 | Canada |
| Glenmark Investigational Site 10 | Waterloo | Ontario | N2J 1C4 | Canada |
| Glenmark Investigational Site 4 | Montreal | Quebec | H2K 4L5 | Canada |
| COMPLETED |
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| NOT COMPLETED |
|
A total of 64 eligible participants were randomized to receive either GBR 830 or corresponding placebo. Two participants assigned to GBR 830 withdrew informed consent before dosing. Therefore, a total of 62 subjects were included in the Full Analysis Set and Safety Analysis Set.
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| ID | Title | Description |
|---|---|---|
| BG000 | GBR 830 | Two doses of GBR 830, 10 mg/kg (solution for infusion, prepared in normal saline) administered intravenously (IV) four weeks apart |
| BG001 | Placebo | Two doses of placebo (formulation buffer for infusion, prepared in normal saline) administered IV four weeks apart |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| BMI | Mean | Standard Deviation | kg/m^2 |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Incidence of Treatment-Emergent Adverse Events | A treatment-emergent adverse event (TEAE) was defined as any new adverse event (AEs) or worsening of an existing condition after administration of the study drug up to and including the follow-up visit. | The Safety Analysis Set consisted of all participants who took at least 1 full or partial dose of study treatment and were used in the assessment and reporting of safety data. | Posted | Count of Participants | Participants | 16 weeks |
|
|
| ||||||||||||||||||||||||||||||||||||
| Primary | Change From Baseline in Thickness of Lesional Skin Biopsies | Epidermal thickness was assessed in Hematoxylin and Eosin stained sections of lesional skin biopsies on Day 1 (baseline), Day 29, and Day 71. | The Biological Activity Set (BAS) consisted of all FAS subjects who had at least 1 post-baseline skin biopsy (Visit 7, Visit 13), and received 2 doses of study drug. The primary analyses on biomarkers of disease activity obtained from biopsy were based on the BAS. Subjects were analyzed according to the treatment to which they were randomized. | Posted | Mean | Standard Deviation | micrometer | Day 1, before dosing (baseline), and Day 29 and Day 71, after dosing. |
|
| ||||||||||||||||||||||||||||||||||||
| Primary | Change From Baseline in Ratio of Active Atopic Dermatitis Messenger Ribonucleic Acid (mRNA) Expression (Normalized to Human Acidic Ribosomal Protein [hARP]) in Lesional Skin Biopsies | Ratio of post-baseline/baseline value of messenger ribonucleic acid (mRNA) expression in lesional skin biopsies is reported. | The Biological Activity Set (BAS) consisted of all FAS participants who had at least 1 post-baseline skin biopsy (Visit 7, Visit 13), and received 2 doses of drug. The primary analyses on biomarkers of disease activity obtained from biopsy were based on the BAS. Participants were analyzed according to the treatment to which they were randomized. | Posted | Geometric Least Squares Mean | 95% Confidence Interval | ratio | 71 days |
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Percent Change in Eczema Area and Severity Index (EASI) Clinical Scores From Baseline | In EASI, four disease characteristics of atopic dermatitis (erythema, edema/papulation, excoriation, and lichenification) are assessed for severity on a scale of 0 (absent), 1 (mild), 2 (moderate), 3 (severe). The scores are added up for each of the four body regions (Head and neck, trunk, arms, and legs). The assigned percentages of body surface area (BSA) for each section of the body are 10% for head and neck, 20% for arms, 30% for trunk, and 40% for legs, respectively. Each subtotal score is multiplied by the BSA represented by that region. In addition, an area score of 0 to 6 is assigned for each body region, depending on the percentage of AD-affected skin in that area: 0 (none), 1 (1% to 9%), 2 (10% to 29%), 3 (30% to 49%), 4 (50% to 69%), 5 (70% to 89%), or 6 (90% to 100%). Each of the body area scores are multiplied by the area affected. The resulting EASI score ranges from 0 to 72 points, with the highest score indicating worse severity of AD. | Full Analysis Set (FAS): The FAS consisted of all participants who were randomized and received at least 1 partial or full dose of study treatment. The FAS population was used for the analysis of the efficacy data not obtained from skin biopsy. Participants were analyzed according to the treatment by which they were randomized. | Posted | Mean | Standard Deviation | percentage of change from baseline | Day 4, Day 29, Day 57, Day 71 |
| |||||||||||||||||||||||||||||||||||||
| Secondary | Percentage of Participants Who Achieved an Investigator's Global Assessment (IGA) Clinical Score of 0 or 1 | The IGA is an assessment scale used in clinical studies to determine severity of AD based on a 5-point scale ranging from 0 (clear) to 4 (severe/very severe). | N is the number of participants in the respective treatment group. Numbers and percentages calculated at each visit are based on the number of participants achieving IGA score of 0 or 1 among those evaluable participants at each visit. | Posted | Count of Participants | Participants | Day 4, Day 29, Day 57, Day 71 |
|
| |||||||||||||||||||||||||||||||||||||
| Secondary | Pharmacokinetics of GBR 830 in Terms of Cmax After First and Second Dose. | Pharmacokinetics in terms of Cmax (maximum observed concentration after second [last] dosing interval) was estimated after the first and second dose. | The Pharmacokinetic Analysis Set (PKAS) consisted of the subset of the Safety Analysis Set population for which sufficient serum concentration data were available to facilitate derivation of at least 1 PK parameter, and the time (HH:MM) of dosing on the day of sampling was known for at least 1 of the dosing visits. | Posted | Geometric Mean | Geometric Coefficient of Variation | microgram/mL | Blood samples were collected on Day 1 and Day 29: pre-dose (15 mins), end of infusion (1 hour) and 1.5, 2, 72, and 504 hours post start of infusion |
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Pharmacokinetics of GBR 830 in Terms of AUC0-tau After the First and Second Dose. | Pharmacokinetics in terms of AUC0-tau [Trapezoid calculation of area under the serum drug concentration-time curve from time zero (pre dose time point of the infusion) to the end of the dosing interval] was estimated. | The Pharmacokinetic Analysis Set (PKAS) consisted of the subset of the Safety Analysis Set population for which sufficient serum concentration data were available to facilitate derivation of at least 1 PK parameter, and the time (HH:MM) of dosing on the day of sampling was known for at least 1 of the dosing visits. | Posted | Geometric Mean | Geometric Coefficient of Variation | microgram*hour/mL | Blood samples were collected on Day 1 and Day 29: pre-dose (15 mins), end of infusion (1 hour) and 1.5, 2, 72, and 504 hours post start of infusion |
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Number of Participants Positive or Negative for Anti-drug Antibodies (ADA) to GBR 830 to Evaluate Immunogenicity | Blood samples were collected at time points to detect anti-drug antibodies (ADAs) to GBR 830, as per procedures similar to collection of PK samples. Antibodies of GBR 830 were detected and confirmed using a validated enzyme-linked immunosorbent assay (ELISA) method. | The Safety Analysis Set consisted of all particpants who took at least 1 full or partial dose of study treatment and were used in the assessment and reporting of safety data. | Posted | Count of Participants | Participants | Samples collected for immunogenicity analysis at Baseline (pre-dose), and at Day 15, Day 29 (pre-dose), Day 57, and Day 85. |
|
|
AEs and SAEs were collected from the time of signing the informed consent form (ICF) until the follow up for a total duration of 16 weeks.
A total of 64 eligible participants were randomized to receive either GBR 830 or corresponding placebo. Two participants assigned to GBR 830 withdrew informed consent before dosing. Therefore, a total of 62 subjects were included in the Full Analysis Set and Safety Analysis Set.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | GBR 830 | Two doses of GBR 830, 10 mg/kg (solution for infusion, prepared in normal saline) administered intravenously (IV) four weeks apart | 0 | 46 | 1 | 46 | 21 | 46 |
| EG001 | Placebo | Two doses of placebo (formulation buffer for infusion, prepared in normal saline) administered IV four weeks apart | 0 | 16 | 0 | 16 | 10 | 16 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Coronary artery occlusion | Cardiac disorders | MedDRA (19.0) | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nasopharyngitis | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
| |
| post procedural infection | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
| |
| Tooth abscess | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
| |
| Lice infestation | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
| |
| Dermatitis atopic | Skin and subcutaneous tissue disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Eczema | Skin and subcutaneous tissue disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Swelling face | Skin and subcutaneous tissue disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Syncope | Nervous system disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Arthritis | Musculoskeletal and connective tissue disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Toothache | Gastrointestinal disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Supraventricular tachycardia | Cardiac disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Laceration | Injury, poisoning and procedural complications | MedDRA (19.0) | Systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA (19.0) | Systematic Assessment |
|
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Ichnos Sciences SA | 2013314000 | clinicaltrialsdisclosuredesk@ichnossciences.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Apr 12, 2018 | Feb 26, 2020 | SAP_001.pdf |
| ID | Term |
|---|---|
| D003876 | Dermatitis, Atopic |
| ID | Term |
|---|---|
| D012873 | Skin Diseases, Genetic |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D003872 | Dermatitis |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D017443 | Skin Diseases, Eczematous |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
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| Male |
|
| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| TEAE leading to permanent withdrawal of study drug |
|
| TEAE related to study drug |
|
|
|
| OG001 |
| Placebo |
Two doses of placebo (formulation buffer for infusion, prepared in normal saline) administered IV four weeks apart |
|
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|
|
|
|