Tralokinumab Monotherapy for Adolescent Subjects With Mod... | NCT03526861 | Trialant
NCT03526861
Sponsor
LEO Pharma
Status
Completed
Last Update Posted
Mar 11, 2025Actual
Enrollment
301Actual
Phase
Phase 3
Conditions
Atopic Dermatitis
Interventions
Tralokinumab
Placebos
Countries
United States
Australia
Belgium
Canada
France
Germany
Japan
Netherlands
Poland
United Kingdom
Protocol Section
Identification Module
NCT ID
NCT03526861
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
LP0162-1334
Secondary IDs
ID
Type
Description
Link
2017-005143-33
EudraCT Number
Brief Title
Tralokinumab Monotherapy for Adolescent Subjects With Moderate to Severe Atopic Dermatitis - ECZTRA 6 (ECZema TRAlokinumab Trial no. 6).
Official Title
A Randomised, Double-blind, Placebo-controlled, Parallel-group, Multi-centre Trial to Evaluate the Efficacy, Safety, and Tolerability of Tralokinumab Monotherapy in Adolescent Subjects With Moderate-to-severe Atopic Dermatitis (AD) Who Are Candidates for Systemic Therapy
Acronym
Not provided
Organization
LEO PharmaINDUSTRY
Status Module
Record Verification Date
May 2023
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Jun 19, 2018Actual
Primary Completion Date
Apr 15, 2020Actual
Completion Date
Mar 16, 2021Actual
First Submitted Date
May 4, 2018
First Submission Date that Met QC Criteria
May 4, 2018
First Posted Date
May 16, 2018Actual
Results Waived
Not provided
Results First Submitted Date
Sep 30, 2021
Results First Submitted that Met QC Criteria
Sep 30, 2021
Results First Posted Date
Oct 29, 2021Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Mar 24, 2021
Certification/Extension First Submitted that Passed QC Review
Mar 24, 2021
Certification/Extension First Posted Date
Mar 29, 2021Actual
Last Update Submitted Date
Feb 21, 2025
Last Update Posted Date
Mar 11, 2025Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
LEO PharmaINDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
Yes
Is FDA Regulated Drug
Yes
Is FDA Regulated Device
No
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
Primary objective:
To evaluate the efficacy of subcutaneous (SC) administration of tralokinumab compared with placebo in treating adolescent subjects (age 12 to <18 years) with moderate-to-severe AD.
Secondary objectives:
To evaluate the efficacy of tralokinumab on severity and extent of AD, itch, and health-related quality of life compared with placebo.
To investigate the safety, immunogenicity, and tolerability of SC administration of tralokinumab compared with placebo when used to treat adolescent subjects (age 12 to <18 years) with moderate-to-severe AD.
Tralokinumab (Dose 2) loading SC injection on Day 0 followed by tralokinumab (Dose 2) injection regimen A.
Week 16 to 52 (maintenance period):
Tralokinumab (Dose 2) maintenance SC injection regimen B.
Drug: Tralokinumab
Interventions
Name
Type
Description
Arm Group Labels
Other Names
Tralokinumab
Drug
Tralokinumab is a human recombinant monoclonal antibody of the immunoglobulin G4 (IgG4) subclass that specifically binds to human interleukin (IL) 13 and blocks interaction with the IL-13 receptors.
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Subjects With Investigator's Global Assessment (IGA) Score of 0 (Clear) or 1 (Almost Clear) at Week 16
The IGA is an instrument used in clinical trials to rate the severity of the subject's global AD and is based on a 5-point scale ranging from 0 (clear) to 4 (severe).
At Week 16
Subjects With at Least 75% Reduction in Eczema Area and Severity Index (EASI75) at Week 16
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
At Week 16
Secondary Outcomes
Measure
Description
Time Frame
Subjects With Reduction of Adolescent Worst Pruritus Numeric Rating Scale (NRS) (Weekly Average) of at Least 4 From Baseline to Week 16
The Adolescent Worst Pruritus NRS is used by subjects to assess their worst itch over the past 24 hours using an 11-point NRS with 0 indicating 'no itch' and 10 indicating 'worst itch possible'.
At Week 16
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Age 12 to 17.
Diagnosis of AD as defined by the Hanifin and Rajka (1980) criteria for AD.
History of AD for ≥1 year.
History of topical corticosteroid (TCS; Europe: Class 3 or higher; US: Class 4 or lower) and/or topical calcineurin inhibitor (TCI) treatment failure or subjects for whom these topical AD treatments are medically inadvisable.
AD involvement of ≥10% body surface area at screening and baseline.
Stable dose of emollient twice daily (or more, as needed) for at least 14 days before randomisation.
Exclusion Criteria:
Active dermatologic conditions that may confound the diagnosis of AD.
Use of tanning beds or phototherapy within 6 weeks prior to randomisation.
Treatment with systemic immunosuppressive/immunomodulating drugs and/or systemic corticosteroid within 4 weeks prior to randomisation.
Treatment with TCS, TCI, or topical phosphodiesterase 4 (PDE-4) inhibitor within 2 weeks prior to randomisation.
Receipt of any marketed biological therapy (i.e. immunoglobulin, anti immunoglobulin E) including dupilumab or investigational biologic agents.
Active skin infection within 1 week prior to randomisation.
Clinically significant infection within 4 weeks prior to randomisation.
A helminth parasitic infection within 6 months prior to the date informed consent is obtained.
Tuberculosis requiring treatment within the 12 months prior to screening.
Paller AS, Flohr C, Cork M, Bewley A, Blauvelt A, Hong HC, Imafuku S, Schuttelaar MLA, Simpson EL, Soong W, Arlert P, Lophaven KW, Kurbasic A, Soldbro L, Vest NS, Wollenberg A. Efficacy and Safety of Tralokinumab in Adolescents With Moderate to Severe Atopic Dermatitis: The Phase 3 ECZTRA 6 Randomized Clinical Trial. JAMA Dermatol. 2023 Jun 1;159(6):596-605. doi: 10.1001/jamadermatol.2023.0627.
Initial Treatment Period - Tralokinumab 300 mg Q2W
Week 0 to Week 16:
Tralokinumab 300 mg Q2W Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for SC administration.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total loading dose of 600 mg tralokinumab. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab.
Periods
Title
Milestones
Reasons Not Completed
Initial Treatment Period
Type
Comment
Milestone Data
STARTED
Baseline Characteristics Module
Baseline Analysis Population Description
Not provided
Outcome Measures Module
Outcome Measures
Adverse Events Module
Frequency Threshold
5
More Info Module
Limitations and Caveats
Not provided
Annotation Section
No data available
No data is available for this block.
Document Section
Large Document Module
Document Has No Statistical Analysis Plan (SAP)
Not provided
Uploaded Document Information
Type
Includes Protocol
Includes SAP
Includes ICF
Document Label
Document Date
Document Uploaded Date
Document File Name
Prot
Yes
No
No
Study Protocol
Feb 6, 2020
Sep 6, 2021
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Not provided
Submission Tracking
No data available
No data is available for this block.
Condition Browse Module
MeSH Terms
Intervention Browse Module
MeSH Terms
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
Not provided
Primary Purpose
Treatment
Observational Model
Not provided
Time Perspective
Not provided
Masking Info
Masking
Double
Masking Description
Neither the subject nor any of the investigator or LEO staff who are involved in the treatment or clinical evaluation and monitoring of the subjects will be aware of the treatment received. The packaging and labelling of the investigational medicinal products (IMPs) will contain no evidence of their identity. Since tralokinumab and placebo are visually distinct and not matched for viscosity, IMP will be handled and administered by a qualified, unblinded healthcare professional at the site who will not be involved in the management of trial subjects and who will not perform any of the assessments.
Who Masked
ParticipantInvestigator
Placebo initial-> Placebo maintenance
Experimental
Week 0 to 16 (initial period):
Placebo loading SC injection on Day 0 followed by placebo injection regimen A.
Placebo contains the same excipients in the same concentration only lacking tralokinumab.
Placebo initial-> Open-label tralokinumab
Placebo initial-> Placebo maintenance
Placebo
Change in Scoring Atopic Dermatitis (SCORAD) From Baseline to Week 16
The SCORAD is a validated tool to evaluate the extent and severity of AD lesions, along with subjective symptoms. The maximum total score is 103, with higher values indicating more severe disease.
From Week 0 to Week 16
Change in Children's Dermatology Life Quality Index (CDLQI) Score From Baseline to Week 16
The CDLQI is a validated questionnaire with content specific to those with dermatology conditions. It consists of 10 items addressing the subject's perception of the impact of their skin disease on various aspects of their quality of life over the last week such as dermatology-related symptoms and feelings, leisure, school or holidays, personal relationships, sleep, and the treatment. Each item is scored on a 4-point Likert scale (0 = 'not at all'; 1 = 'only a little'; 2 = 'quite a lot'; 3 = 'very much'). Item 7 (on school time) has one additional response category 'prevented school', which is also scored '3'. The total score of the CDLQI is the sum of the 10 items (0 to 30); a high score is indicative of a poor quality of life.
From Week 0 to Week 16
Number of Adverse Events
Number of AEs during the Initial treatment period is presented. For a summary of AEs and SAEs by MedDRA system organ class (SOC) and preferred term (PT) during the initial treatment period, maintenance treatment period, open-label treatment period, and safety follow-up period, see the Adverse Events Overview section.
From Week 0 to Week 16
Presence of Anti-drug Antibodies
Anti-tralokinumab antibody levels were analysed using a validated bioanalytical method.
From Week 0 to Week 16
Subjects With at Least 50% Reduction in Eczema Area and Severity Index (EASI50) at Week 16.
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
At Week 16
Subjects With at Least 90% Reduction in Eczema Area and Severity Index (EASI90) at Week 16.
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
At Week 16
Change in Eczema Area and Severity Index (EASI) Score From Baseline to Week 16
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
From Week 0 to Week 16
Subjects With at Least 75% Reduction in Scoring Atopic Dermatitis (SCORAD75) at Week 16
The SCORAD is a validated tool to evaluate the extent and severity of atopic dermatitis lesions, along with subjective symptoms. The score ranges from 0 to 103, with a higher values indicating a more extensive and/or severe condition.
At Week 16
Subjects With at Least 50% Reduction in Scoring Atopic Dermatitis (SCORAD50) at Week 16
The SCORAD is a validated tool to evaluate the extent and severity of atopic dermatitis lesions, along with subjective symptoms. The score ranges from 0 to 103, with a higher values indicating a more extensive and/or severe condition.
At Week 16
Change in Adolescent Worst Pruritus Numeric Rating Scale (NRS) (Weekly Average) From Baseline to Week 16
The Adolescent Worst Pruritus NRS is used by subjects to assess their worst itch over the past 24 hours using an 11-point NRS with 0 indicating 'no itch' and 10 indicating 'worst itch possible'.
From Week 0 to Week 16
Participants With Reduction of Adolescent Worst Pruritus Numeric Rating Scale (NRS) (Weekly Average) of at Least 3 From Baseline to Week 16
The Adolescent Worst Pruritus NRS is used by subjects to assess their worst itch over the past 24 hours using an 11-point NRS with 0 indicating 'no itch' and 10 indicating 'worst itch possible'.
At Week 16
Change in Patient Oriented Eczema Measure (POEM) From Baseline to Week 16
The POEM is a validated questionnaire used to assess disease symptoms in atopic eczema patients in both clinical practice and clinical trials. The tool consists of 7 items each addressing a specific symptom (itching, sleep, bleeding, weeping, cracking, flaking, and dryness). Subjects will score how often they have experienced each symptom over the previous week on a 5-point categorical response scale (0 = 'no days'; 1 = '1 to 2 days'; 2 = '3 to 4 days'; 3 = '5 to 6' days; 4 = 'every day'). The total score is the sum of the 7 items (range 0 to 28) and reflects disease-related morbidity; a high score is indicative of a worse disease severity.
From Week 0 to Week 16
Tralokinumab Serum Trough Concentration at Week 16
Serum samples for determination of tralokinumab concentrations were analysed by a laboratory using a validated bioanalytical method.
At Week 16
Subjects With Investigator's Global Assessment (IGA) Score of 0 (Clear) or 1 (Almost Clear) at Week 52 Among Subjects With IGA Score of 0 or 1 at Week 16 After Initial Randomisation to Tralokinumab and Without Use of Rescue From Week 2 to Week 16
The IGA is an instrument used in clinical trials to rate the severity of the subject's global AD and is based on a 5-point scale ranging from 0 (clear) to 4 (severe).
At Week 52
Subjects With at Least 75% Reduction in Eczema Area and Severity Index (EASI75) at Week 52 Among Subjects With at Least 75% Reduction in EASI at Week 16 After Initial Randomisation to Tralokinumab and Without Use of Rescue From Week 2 to Week 16
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
At Week 52
Tralokinumab Serum Trough Concentration at Week 66
Serum samples for determination of tralokinumab concentrations were analysed by a laboratory using a validated bioanalytical method.
At Week 66
Fort Smith
Arkansas
72916
United States
Leo Pharma Investigational Site
Fountain Valley
California
92708
United States
LEO Pharma Investigational Site
Los Angeles
California
90045
United States
LEO Pharma Investigational Site
San Francisco
California
94132
United States
LEO Pharma Investigational Site
Stanford
California
94304
United States
LEO Pharma Investigational Site
New Haven
Connecticut
06520-8059
United States
LEO Pharma Investigational Site
Miami
Florida
33137
United States
Leo Pharma Investigational Site
Albany
Georgia
31707
United States
LEO Pharma Investigational Site
Chicago
Illinois
60611
United States
LEO Pharma Investigational Site
Louisville
Kentucky
40215
United States
LEO Pharma Investigational Site
Baton Rouge
Louisiana
70808
United States
LEO Pharma Investigational Site
Ann Arbor
Michigan
48103
United States
LEO Pharma Investigational Site
Ypsilanti
Michigan
48197
United States
LEO Pharma Investigational Site
Minneapolis
Minnesota
55402
United States
LEO Pharma Investigational Site
East Windsor
New Jersey
08520
United States
LEO Pharma Investigational Site
Corning
New York
14830
United States
Leo Pharma Investigational Site
New York
New York
10075
United States
LEO Pharma Investigational Site
High Point
North Carolina
27262
United States
LEO Pharma Investigational Site
Bexley
Ohio
43209
United States
Leo Pharma Investigational Site
Tulsa
Oklahoma
74136
United States
LEO Pharma Investigational Site
Portland
Oregon
97223
United States
LEO Pharma Investigational Site
Portland
Oregon
97239
United States
LEO Pharma Investigational Site
Philadelphia
Pennsylvania
19104
United States
Leo Pharma Investigational Site
North Charleston
South Carolina
29420
United States
Leo Pharma Investigational Site
Murfreesboro
Tennessee
37130
United States
LEO Pharma Investigational Site
Austin
Texas
78746
United States
LEO Pharma Investigational Site
Houston
Texas
77030
United States
Leo Pharma Investigational Site
San Antonio
Texas
78218
United States
Leo Pharma Investigationel Site
Darlinghurst
2010
Australia
Leo Pharma Investigationel Site
Kogarah
2217
Australia
Leo Pharma Investigationel Site
Melbourne
3002
Australia
Leo Pharma Investigationel Site
Woolloongabba
4102
Australia
Leo Pharma Investigationel Site
Brussels
1200
Belgium
Leo Pharma Investigationel Site
Ghent
B-9000
Belgium
Leo Pharma Investigationel Site
Liège
4000
Belgium
Leo Pharma Investigational Site
Maldegem
9990
Belgium
LEO Pharma Investigational Site
Calgary
Alberta
T3A 2N1
Canada
LEO Pharma Investigational Site
Edmonton
Alberta
T6G 1C9
Canada
LEO Pharma Investigational Site
Surrey
British Columbia
V3R 6A7
Canada
LEO Pharma Investigational Site
Winnipeg
Manitoba
R3C 1T6
Canada
LEO Pharma Investigational Site
Winnipeg
Manitoba
R3M 3Z4
Canada
LEO Pharma Investigational Site
Markham
Ontario
L3P 1X2
Canada
LEO Pharma Investigational Site
Oakville
Ontario
L6J 7W5
Canada
LEO Pharma Investigational Site
Toronto
Ontario
M5A 3R6
Canada
LEO Pharma Investigational Site
Windsor
Ontario
N8X 2G1
Canada
LEO Pharma Investigational Site
Montreal
Quebec
H3T 1C5
Canada
LEO Pharma Investigational Site
Saskatoon
Saskatchewan
S7K 0H6
Canada
Leo Pharma Investigationel Site
Marseille
13285
France
Leo Pharma Investigationel Site
Nice
06200
France
Leo Pharma Investigationel Site
Paris
75015
France
Leo Pharma Investigationel Site
Paris
75020
France
Leo Pharma Investigationel Site
Valence
26000
France
Leo Pharma Investigationel Site
Berlin
10115
Germany
Leo Pharma Investigationel Site
Dresden
01307
Germany
Leo Pharma Investigationel Site
Jena
49074
Germany
Leo Pharma Investigationel Site
Osnabrück
49074
Germany
Leo Pharma Investigationel Site
Fukuoka
814-0180
Japan
Leo Pharma Investigationel Site
Kagoshima
890-8520
Japan
Leo Pharma Investigationel Site
Kyoto
602-8566
Japan
Leo Pharma Investigationel Site
Nagoya
457-8510
Japan
Leo Pharma Investigationel Site
Obihiro
080-0013
Japan
Leo Pharma Investigationel Site
Osaka
593-8324
Japan
Leo Pharma Investigationel Site
Osaka-fu
560-0085
Japan
Leo Pharma Investigationel Site
Shimotsuke
329-0498
Japan
Leo Pharma Investigationel Site
Tokyo
136-0074
Japan
Leo Pharma Investigationel Site
Tokyo
141-8625
Japan
Leo Pharma Investigationel Site
Tokyo
169-0075
Japan
Leo Pharma Investigationel Site
Tokyo
171-0022
Japan
Leo Pharma Investigationel Site
Tsu
514-8507
Japan
Leo Pharma Investigationel Site
Yamanashi
400-8506
Japan
Leo Pharma Investigationel Site
Bergen op Zoom
4708
Netherlands
Leo Pharma Investigationel Site
Breda
4818
Netherlands
Leo Pharma Investigationel Site
Groningen
9713
Netherlands
Leo Pharma Investigationel Site
Rotterdam
3015
Netherlands
Leo Pharma Investigationel Site
Krakow
30-033
Poland
Leo Pharma Investigationel Site
Krakow
30-149
Poland
Leo Pharma Investigationel Site
Krakow
31-011
Poland
Leo Pharma Investigationel Site
Lodz
90-265
Poland
Leo Pharma Investigationel Site
Lodz
90-436
Poland
Leo Pharma Investigationel Site
Rzeszów
35-055
Poland
Leo Pharma Investigationel Site
Åšwidnik
21-040
Poland
Leo Pharma Investigationel Site
Wroclaw
50-001
Poland
Leo Pharma Investigationel Site
Wroclaw
51-318
Poland
Leo Pharma Investigationel Site
Wroclaw
52-416
Poland
Leo Pharma Investigationel Site
Glasgow
G51 4TF
United Kingdom
Leo Pharma Investigationel Site
London
E11 1NR
United Kingdom
Derived
Paller AS, Cork MJ, Hong HC, Soong W, Schneider SKR, Lo H, Vinther F, Thogersen P, Wollenberg A. Clinical Laboratory Parameters in Adolescents with Moderate-to-Severe Atopic Dermatitis Treated with Tralokinumab Up to Week 52 in the Phase 3 ECZTRA 6 Trial. Dermatol Ther (Heidelb). 2026 Jun;16(6):3037-3048. doi: 10.1007/s13555-026-01745-7. Epub 2026 Apr 25.
Paller AS, Blauvelt A, Soong W, Chih-Ho Hong H, Schuttelaar MLA, Schneider SKR, Simpson EL. Clinically Meaningful Improvements in Adolescents with Moderate-to-Severe Atopic Dermatitis Treated with Tralokinumab who did not Achieve Clear or Almost Clear Skin at Week 16. Dermatol Ther (Heidelb). 2025 Oct;15(10):2879-2896. doi: 10.1007/s13555-025-01484-1. Epub 2025 Jul 28.
Paller AS, Soong W, Boguniewicz M, Geng B, Thyssen JP, Bennike N, Schneider S, Wollenberg A. Effect of tralokinumab on moderate-to-severe atopic dermatitis in patients with atopic comorbidities. Ann Allergy Asthma Immunol. 2025 Oct;135(4):425-433.e4. doi: 10.1016/j.anai.2025.06.022. Epub 2025 Jun 22.
Soehoel A, Larsen MS, Timmermann S. Population Pharmacokinetics of Tralokinumab in Adult Subjects With Moderate to Severe Atopic Dermatitis. Clin Pharmacol Drug Dev. 2022 Aug;11(8):910-921. doi: 10.1002/cpdd.1113. Epub 2022 Jun 7.
FG001
Initial Treatment Period - Tralokinumab 150 mg Q2W
Week 0 to Week 16:
Tralokinumab 150 mg Q2W. Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for SC administration.
At Day 0, each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab and 2 subcutaneous injections (each 1.0 mL) of placebo to receive a total loading dose of 300 mg tralokinumab. At subsequent visits (Q2W) each subject received 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab.
FG002
Initial Treatment Period - Placebo
Week 0 to Week 16:
Placebo Q2W Placebo: Placebo contains the same excipients, in the same concentration, only lacking tralokinumab.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of placebo. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of placebo.
FG003
Maintenance Treatment Period - Tralokinumab 300 mg Q2W
Week 16 to Week 52:
Subjects achieving a clinical response at Week 16 without use of rescue medication from Week 2 to Week 16 and initially randomised to tralokinumab 300 mg Q2W, re-randomised to tralokinumab 300 mg Q2W maintenance dosing regimen. At each visit (Q2W), subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab.
FG004
Maintenance Treatment Period - Tralokinumab 300 mg Q4W
Week 16 to Week 52:
Subjects achieving a clinical response at Week 16 without use of rescue medication from Week 2 to Week 16 and initially randomised to tralokinumab 300 mg Q2W, re-randomised to tralokinumab 300 mg Q4W maintenance dosing regimen. At each visit (Q2W), subject received alternating dose administrations: 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab; or 2 subcutaneous injections (each 1.0 mL) of placebo.
FG005
Maintenance Treatment Period - Tralokinumab 150 mg Q2W
Week 16 to Week 52:
Subjects achieving a clinical response at Week 16 without use of rescue medication from Week 2 to Week 16 and initially randomised to tralokinumab 150 mg Q2W, re-randomised to tralokinumab 150 mg Q2W maintenance dosing regimen. At each visit (Q2W), subject received 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab.
FG006
Maintenance Treatment Period - Tralokinumab 150 mg Q4W
Week 16 to Week 52:
Subjects achieving a clinical response at Week 16 without use of rescue medication from Week 2 to Week 16 from Week 2 to Week 16 and initially randomised to tralokinumab 150 mg Q2W, re-randomised to tralokinumab 150 mg Q4W maintenance dosing regimen. At each visit (Q2W), subject received alternating dose administrations: 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab; or 2 subcutaneous injections (each 1.0 mL) of placebo.
FG007
Maintenance Treatment Period - Placebo Q2W
Week 16 to Week 52:
Subjects achieving a clinical response at Week 16 without use of rescue medication from Week 2 to Week 16 and initially randomised to placebo, assigned to continue to placebo Q2W. At each visit (Q2W), subject received 2 subcutaneous injections (each 1.0 mL) of placebo.
Subjects receiving initial treatment with tralokinumab 150 mg/tralokinumab 300 mg/placebo Q2W who did not achieve clinical response at Week 16 without use of rescue medication from Week 2 to Week 16, assigned to open-label treatment at Week 16 with tralokinumab 300 mg Q2W regimen + optional topical corticosteroids (TCS) OR Subjects receiving maintenance treatment with tralokinumab 150 mg Q2W/Q4W, tralokinumab 300 mg Q2W/Q4W, or placebo Q2W assigned to open-label treatment after Week 16 with tralokinumab 300 mg Q2W regimen + optional TCS if
IGA of at least 2 and not achieving EASI75 over at least a 4-week period (over 3 consecutive visits) for subjects with IGA=0 at Week 16.
IGA of at least 3 and not achieving EASI75 over at least a 4-week period (i.e. over 3 consecutive visits) for subjects with IGA=1 at Week 16.
Not achieving EASI75 over at least a 4-week period (over 3 consecutive visits) for subjects with IGA>1 at Week 16. At each visit, subjects received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab Q2W to receive a total dose of 300 mg.
FG000101 subjects
FG001100 subjects
FG002100 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0080 subjects
COMPLETED
FG00094 subjects
FG00193 subjects
FG00286 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0080 subjects
NOT COMPLETED
FG0007 subjects
FG0017 subjects
FG00214 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0080 subjects
Type
Comment
Reasons
Not dosed
FG0001 subjects
FG0011 subjects
FG0021 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0080 subjects
Randomised at site with quality/GCP issues identified, subject withdrawn from the trial
FG0003 subjects
FG0011 subjects
FG0025 subjects
FG0030 subjects
Subject discontinued IMP before Week 16
FG0003 subjects
FG0015 subjects
FG0028 subjects
FG0030 subjects
FG004
Maintenance Treatment Period
Type
Comment
Milestone Data
STARTED
Maintenance treatment period was in parallel to the open-label treatment period.
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG00313 subjects
FG00414 subjects
FG00512 subjects
FG00614 subjects
FG0076 subjects
FG0080 subjects
COMPLETED
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0035 subjects
FG004
NOT COMPLETED
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0038 subjects
FG004
Type
Comment
Reasons
Subject discontinued IMP between Week 16 and Week 52
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG003
Open-label Treatment Period
Type
Comment
Milestone Data
STARTED
Open-label treatment period was in parallel to the maintenance treatment period.
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG008242 subjects226 subjects transferred to open-label treatment at Week 16. 24 subjects transferred to open-label treatment between Week 16 and Week 52.
COMPLETED
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
NOT COMPLETED
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Type
Comment
Reasons
Subject discontinued IMP between Week 16 and Week 52
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG003
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Initial Treatment Period - Tralokinumab 300 mg Q2W
Week 0 to Week 16:
Tralokinumab 300 mg Q2W Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total loading dose of 600 mg tralokinumab. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab.
BG001
Initial Treatment Period - Tralokinumab 150 mg Q2W
Week 0 to Week 16:
Tralokinumab 150 mg Q2W. Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab and 2 subcutaneous injections (each 1.0 mL) of placebo to receive a total loading dose of 300 mg tralokinumab. At subsequent visits (Q2W) each subject received 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab.
BG002
Initial Treatment Period - Placebo
Week 0 to Week 16:
Placebo Q2W Placebo: Placebo contains the same excipients, in the same concentration, only lacking tralokinumab.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of placebo. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of placebo.
BG003
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG000101
BG001100
BG002100
BG003301
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Mean
Standard Deviation
years
Title
Denominators
Categories
Title
Measurements
BG00014.6± 1.8
BG00114.8± 1.7
BG00214.4± 1.6
BG003
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG00052
BG00148
BG002
Ethnicity (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Hispanic or Latino
BG00012
BG00110
BG002
Race/Ethnicity, Customized
Count of Participants
Participants
Title
Denominators
Categories
White
Title
Measurements
BG00059
BG00156
BG002
Region of Enrollment
Number
participants
Title
Denominators
Categories
Canada
Title
Measurements
BG00021
BG00119
BG002
Investigator's Global Assessment
The Investigator's Global Assessment (IGA) is an instrument used in clinical trials to rate the severity of the subject's global atopic dermatitis and is based on a 5-point scale ranging from 0 (clear) to 4 (severe).
Count of Participants
Participants
Title
Denominators
Categories
Clear
Title
Measurements
BG0000
BG001
Eczema Area and Severity Index
The Eczema Area and Severity Index (EASI) is a validated measure used in clinical practice and clinical trials to assess the severity and extent of atopic dermatitis. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
Mean
Standard Deviation
units on a scale
Title
Denominators
Categories
Title
Measurements
BG00031.90± 13.74
BG001
Scoring Atopic Dermatitis
The Scoring Atopic Dermatitis (SCORAD) is a validated tool to evaluate the extent and severity of AD lesions, along with subjective symptoms. The maximum total score is 103, with higher values indicating more severe disease.
Mean
Standard Deviation
units on a scale
Title
Denominators
Categories
Title
Measurements
BG00068.41± 13.51
BG001
Children's Dermatology Life Quality Index
The Children's Dermatology Life Quality Index (DLQI) consists of 10 items addressing the subject's perception of the impact of their skin disease on various aspects of their quality of life (QoL) over the last week such as dermatology-related symptoms and feelings, leisure, school or holidays, personal relationships, sleep, and the treatment. Each item is scored on a 4-point Likert scale (0 = 'not at all'; 1 = 'only a little'; 2 = 'quite a lot'; 3 = 'very much'). The total score is the sum of the 10 items (0 to 30); a high score is indicative of a poor health-related quality of life.
Mean
Standard Deviation
units on a scale
Title
Denominators
Categories
Title
Measurements
BG00013.29± 7.18
BG001
Adolescent Worst Pruritus NRS (weekly average)
Subjects assessed their worst itch severity over the past 24 hours using an 11-point numeric rating scale ('Adolescent Worst Pruritus NRS') each morning, with 0 indicating 'no itch' and 10 indicating 'worst itch possible'.
Mean
Standard Deviation
units on a scale
Title
Denominators
Categories
Title
Measurements
BG0007.79± 1.53
BG001
Body surface area affected by atopic dermatitis (AD)
Mean
Standard Deviation
percentage affected
Title
Denominators
Categories
Title
Measurements
BG00049.8± 23.0
BG00152.0± 22.5
BG002
Age of onset of atopic dermatitis (AD)
Mean
Standard Deviation
years
Title
Denominators
Categories
Title
Measurements
BG0002.5± 3.5
BG0012.1± 3.3
BG002
Duration of atopic dermatitis (AD)
Mean
Standard Deviation
years
Title
Denominators
Categories
Title
Measurements
BG00012.1± 3.7
BG00112.7± 3.7
BG002
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
Subjects With Investigator's Global Assessment (IGA) Score of 0 (Clear) or 1 (Almost Clear) at Week 16
The IGA is an instrument used in clinical trials to rate the severity of the subject's global AD and is based on a 5-point scale ranging from 0 (clear) to 4 (severe).
The full analysis set (FAS: All subjects randomised to initial treatment who were exposed to IMP and not randomised at the investigational sites where substantial quality/GCP issues were identified) was used for the primary analysis.
Posted
Count of Participants
Participants
At Week 16
ID
Title
Description
OG000
Initial Treatment Period - Tralokinumab 300 mg Q2W
Week 0 to Week 16:
Tralokinumab 300 mg Q2W Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total loading dose of 600 mg tralokinumab. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab.
OG001
Initial Treatment Period - Tralokinumab 150 mg Q2W
Week 0 to Week 16:
Tralokinumab 150 mg Q2W. Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab and 2 subcutaneous injections (each 1.0 mL) of placebo to receive a total loading dose of 300 mg tralokinumab. At subsequent visits (Q2W) each subject received 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab.
OG002
Initial Treatment Period - Placebo
Week 0 to Week 16:
Placebo Q2W Placebo: Placebo contains the same excipients, in the same concentration, only lacking tralokinumab.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of placebo. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of placebo.
Units
Counts
Participants
OG00097
OG00198
OG00294
Title
Denominators
Categories
Title
Measurements
OG00017
OG00121
OG0024
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Subjects with IGA score of 0 (clear) or 1 (almost clear) at Week 16 were considered responders. Subjects with missing data or subjects who received rescue medication from Week 2 to Week 16 were considered non-responders. Analysis was performed using Cochran-Mantel-Haenszel test stratified by region and baseline disease severity. The null hypothesis of no difference in response rate between tralokinumab 300 mg Q2W and placebo was tested against the 2-sided alternative that there is a difference.
Cochran-Mantel-Haenszel
0.002
Based on the primary analysis of the primary estimand 'composite'.
Risk Difference (RD)
13.8
2-Sided
95
5.3
22.3
Mantel-Haenszel risk difference, stratified by region and baseline disease severity.
Primary
Subjects With at Least 75% Reduction in Eczema Area and Severity Index (EASI75) at Week 16
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
The full analysis set (FAS: All subjects randomised to initial treatment who were exposed to IMP and not randomised at the investigational sites where substantial quality/GCP issues were identified) was used for the primary analysis.
Posted
Count of Participants
Participants
At Week 16
ID
Title
Description
OG000
Initial Treatment Period - Tralokinumab 300 mg Q2W
Week 0 to Week 16:
Tralokinumab 300 mg Q2W Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total loading dose of 600 mg tralokinumab. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab.
OG001
Initial Treatment Period - Tralokinumab 150 mg Q2W
Week 0 to Week 16:
Tralokinumab 150 mg Q2W. Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab and 2 subcutaneous injections (each 1.0 mL) of placebo to receive a total loading dose of 300 mg tralokinumab. At subsequent visits (Q2W) each subject received 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab.
Secondary
Subjects With Reduction of Adolescent Worst Pruritus Numeric Rating Scale (NRS) (Weekly Average) of at Least 4 From Baseline to Week 16
The Adolescent Worst Pruritus NRS is used by subjects to assess their worst itch over the past 24 hours using an 11-point NRS with 0 indicating 'no itch' and 10 indicating 'worst itch possible'.
Subjects in the full analysis set with baseline Adolescent Worst Pruritus weekly average ≥4. The full analysis set (FAS) comprised all subjects randomised to initial treatment who were exposed to IMP and not randomised at the investigational sites where substantial quality/GCP issues were identified.
Posted
Count of Participants
Participants
At Week 16
ID
Title
Description
OG000
Initial Treatment Period - Tralokinumab 300 mg Q2W
Week 0 to Week 16:
Tralokinumab 300 mg Q2W Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total loading dose of 600 mg tralokinumab. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab.
OG001
Initial Treatment Period - Tralokinumab 150 mg Q2W
Week 0 to Week 16:
Tralokinumab 150 mg Q2W. Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab and 2 subcutaneous injections (each 1.0 mL) of placebo to receive a total loading dose of 300 mg tralokinumab. At subsequent visits (Q2W) each subject received 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab.
Secondary
Change in Scoring Atopic Dermatitis (SCORAD) From Baseline to Week 16
The SCORAD is a validated tool to evaluate the extent and severity of AD lesions, along with subjective symptoms. The maximum total score is 103, with higher values indicating more severe disease.
The full analysis set (FAS: All subjects randomised to initial treatment who were exposed to IMP and not randomised at the investigational sites where substantial quality/GCP issues were identified) was used for the primary analysis.
Posted
Least Squares Mean
Standard Error
units on a scale
From Week 0 to Week 16
ID
Title
Description
OG000
Initial Treatment Period - Tralokinumab 300 mg Q2W
Week 0 to Week 16:
Tralokinumab 300 mg Q2W Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total loading dose of 600 mg tralokinumab. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab.
OG001
Initial Treatment Period - Tralokinumab 150 mg Q2W
Week 0 to Week 16:
Tralokinumab 150 mg Q2W. Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab and 2 subcutaneous injections (each 1.0 mL) of placebo to receive a total loading dose of 300 mg tralokinumab. At subsequent visits (Q2W) each subject received 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab.
Secondary
Change in Children's Dermatology Life Quality Index (CDLQI) Score From Baseline to Week 16
The CDLQI is a validated questionnaire with content specific to those with dermatology conditions. It consists of 10 items addressing the subject's perception of the impact of their skin disease on various aspects of their quality of life over the last week such as dermatology-related symptoms and feelings, leisure, school or holidays, personal relationships, sleep, and the treatment. Each item is scored on a 4-point Likert scale (0 = 'not at all'; 1 = 'only a little'; 2 = 'quite a lot'; 3 = 'very much'). Item 7 (on school time) has one additional response category 'prevented school', which is also scored '3'. The total score of the CDLQI is the sum of the 10 items (0 to 30); a high score is indicative of a poor quality of life.
Subjects in the full analysis set with non-missing baseline CDLQI score. The full analysis set (FAS) comprised all subjects randomised to initial treatment who were exposed to IMP and not randomised at the investigational sites where substantial quality/GCP issues were identified.
Posted
Least Squares Mean
Standard Error
units on a scale
From Week 0 to Week 16
ID
Title
Description
OG000
Initial Treatment Period - Tralokinumab 300 mg Q2W
Week 0 to Week 16:
Tralokinumab 300 mg Q2W Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total loading dose of 600 mg tralokinumab. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab.
Secondary
Number of Adverse Events
Number of AEs during the Initial treatment period is presented. For a summary of AEs and SAEs by MedDRA system organ class (SOC) and preferred term (PT) during the initial treatment period, maintenance treatment period, open-label treatment period, and safety follow-up period, see the Adverse Events Overview section.
The analysis was performed on the safety analysis set. The safety analysis set comprised all subjects randomised to initial treatment and exposed to IMP, except for subjects randomised at the investigational sites where substantial quality/GCP issues were identified . The safety analysis set was identical to the full analysis set.
Posted
Number
number of adverse events
From Week 0 to Week 16
ID
Title
Description
OG000
Initial Treatment Period - Tralokinumab 300 mg Q2W
Week 0 to Week 16:
Tralokinumab 300 mg Q2W Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total loading dose of 600 mg tralokinumab. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab.
OG001
Initial Treatment Period - Tralokinumab 150 mg Q2W
Secondary
Presence of Anti-drug Antibodies
Anti-tralokinumab antibody levels were analysed using a validated bioanalytical method.
The analysis was performed on the safety analysis set. The safety analysis set comprised all subjects randomised to initial treatment, except for subjects randomised at the investigational sites where substantial quality/GCP issues were identified and subjects for whom no post-baseline safety data were available. The safety analysis set was identical to the full analysis set.
Posted
Count of Participants
Participants
From Week 0 to Week 16
ID
Title
Description
OG000
Initial Treatment Period - Tralokinumab 300 mg Q2W
Week 0 to Week 16:
Tralokinumab 300 mg Q2W Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total loading dose of 600 mg tralokinumab. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab.
OG001
Initial Treatment Period - Tralokinumab 150 mg Q2W
Week 0 to Week 16:
Tralokinumab 150 mg Q2W. Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab and 2 subcutaneous injections (each 1.0 mL) of placebo to receive a total loading dose of 300 mg tralokinumab. At subsequent visits (Q2W) each subject received 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab.
Secondary
Subjects With at Least 50% Reduction in Eczema Area and Severity Index (EASI50) at Week 16.
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
The full analysis set (FAS: All subjects randomised to initial treatment who were exposed to IMP and not randomised at the investigational sites where substantial quality/GCP issues were identified) was used for the primary analysis.
Posted
Count of Participants
Participants
At Week 16
ID
Title
Description
OG000
Initial Treatment Period - Tralokinumab 300 mg Q2W
Week 0 to Week 16:
Tralokinumab 300 mg Q2W Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total loading dose of 600 mg tralokinumab. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab.
OG001
Initial Treatment Period - Tralokinumab 150 mg Q2W
Week 0 to Week 16:
Tralokinumab 150 mg Q2W. Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab and 2 subcutaneous injections (each 1.0 mL) of placebo to receive a total loading dose of 300 mg tralokinumab. At subsequent visits (Q2W) each subject received 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab.
Secondary
Subjects With at Least 90% Reduction in Eczema Area and Severity Index (EASI90) at Week 16.
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
The full analysis set (FAS: All subjects randomised to initial treatment who were exposed to IMP and not randomised at the investigational sites where substantial quality/GCP issues were identified) was used for the primary analysis.
Posted
Count of Participants
Participants
At Week 16
ID
Title
Description
OG000
Initial Treatment Period - Tralokinumab 300 mg Q2W
Week 0 to Week 16:
Tralokinumab 300 mg Q2W Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total loading dose of 600 mg tralokinumab. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab.
OG001
Initial Treatment Period - Tralokinumab 150 mg Q2W
Week 0 to Week 16:
Tralokinumab 150 mg Q2W. Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab and 2 subcutaneous injections (each 1.0 mL) of placebo to receive a total loading dose of 300 mg tralokinumab. At subsequent visits (Q2W) each subject received 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab.
Secondary
Change in Eczema Area and Severity Index (EASI) Score From Baseline to Week 16
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
The full analysis set (FAS: All subjects randomised to initial treatment who were exposed to IMP and not randomised at the investigational sites where substantial quality/GCP issues were identified) was used for the primary analysis.
Posted
Least Squares Mean
Standard Error
units on a scale
From Week 0 to Week 16
ID
Title
Description
OG000
Initial Treatment Period - Tralokinumab 300 mg Q2W
Week 0 to Week 16:
Tralokinumab 300 mg Q2W Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total loading dose of 600 mg tralokinumab. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab.
OG001
Initial Treatment Period - Tralokinumab 150 mg Q2W
Week 0 to Week 16:
Tralokinumab 150 mg Q2W. Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab and 2 subcutaneous injections (each 1.0 mL) of placebo to receive a total loading dose of 300 mg tralokinumab. At subsequent visits (Q2W) each subject received 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab.
Secondary
Subjects With at Least 75% Reduction in Scoring Atopic Dermatitis (SCORAD75) at Week 16
The SCORAD is a validated tool to evaluate the extent and severity of atopic dermatitis lesions, along with subjective symptoms. The score ranges from 0 to 103, with a higher values indicating a more extensive and/or severe condition.
The full analysis set (FAS: All subjects randomised to initial treatment who were exposed to IMP and not randomised at the investigational sites where substantial quality/GCP issues were identified) was used for the primary analysis.
Posted
Count of Participants
Participants
At Week 16
ID
Title
Description
OG000
Initial Treatment Period - Tralokinumab 300 mg Q2W
Week 0 to Week 16:
Tralokinumab 300 mg Q2W Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total loading dose of 600 mg tralokinumab. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab.
OG001
Initial Treatment Period - Tralokinumab 150 mg Q2W
Week 0 to Week 16:
Tralokinumab 150 mg Q2W. Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab and 2 subcutaneous injections (each 1.0 mL) of placebo to receive a total loading dose of 300 mg tralokinumab. At subsequent visits (Q2W) each subject received 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab.
Secondary
Subjects With at Least 50% Reduction in Scoring Atopic Dermatitis (SCORAD50) at Week 16
The SCORAD is a validated tool to evaluate the extent and severity of atopic dermatitis lesions, along with subjective symptoms. The score ranges from 0 to 103, with a higher values indicating a more extensive and/or severe condition.
The full analysis set (FAS: All subjects randomised to initial treatment who were exposed to IMP and not randomised at the investigational sites where substantial quality/GCP issues were identified) was used for the primary analysis.
Posted
Count of Participants
Participants
At Week 16
ID
Title
Description
OG000
Initial Treatment Period - Tralokinumab 300 mg Q2W
Week 0 to Week 16:
Tralokinumab 300 mg Q2W Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total loading dose of 600 mg tralokinumab. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab.
OG001
Initial Treatment Period - Tralokinumab 150 mg Q2W
Week 0 to Week 16:
Tralokinumab 150 mg Q2W. Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab and 2 subcutaneous injections (each 1.0 mL) of placebo to receive a total loading dose of 300 mg tralokinumab. At subsequent visits (Q2W) each subject received 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab.
Secondary
Change in Adolescent Worst Pruritus Numeric Rating Scale (NRS) (Weekly Average) From Baseline to Week 16
The Adolescent Worst Pruritus NRS is used by subjects to assess their worst itch over the past 24 hours using an 11-point NRS with 0 indicating 'no itch' and 10 indicating 'worst itch possible'.
Subjects in the full analysis set with non-missing baseline Adolescent Worst Pruritus NRS score. The full analysis set (FAS) comprised all subjects randomised to initial treatment who were exposed to IMP and not randomised at the investigational sites where substantial quality/GCP issues were identified.
Posted
Least Squares Mean
Standard Error
units on a scale
From Week 0 to Week 16
ID
Title
Description
OG000
Initial Treatment Period - Tralokinumab 300 mg Q2W
Week 0 to Week 16:
Tralokinumab 300 mg Q2W Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total loading dose of 600 mg tralokinumab. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab.
OG001
Initial Treatment Period - Tralokinumab 150 mg Q2W
Week 0 to Week 16:
Tralokinumab 150 mg Q2W. Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab and 2 subcutaneous injections (each 1.0 mL) of placebo to receive a total loading dose of 300 mg tralokinumab. At subsequent visits (Q2W) each subject received 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab.
Secondary
Participants With Reduction of Adolescent Worst Pruritus Numeric Rating Scale (NRS) (Weekly Average) of at Least 3 From Baseline to Week 16
The Adolescent Worst Pruritus NRS is used by subjects to assess their worst itch over the past 24 hours using an 11-point NRS with 0 indicating 'no itch' and 10 indicating 'worst itch possible'.
Subjects in the full analysis set with baseline Adolescent Worst Pruritus weekly average ≥3. The full analysis set (FAS) comprised all subjects randomised to initial treatment who were exposed to IMP and not randomised at the investigational sites where substantial quality/GCP issues were identified.
Posted
Count of Participants
Participants
At Week 16
ID
Title
Description
OG000
Initial Treatment Period - Tralokinumab 300 mg Q2W
Week 0 to Week 16:
Tralokinumab 300 mg Q2W Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total loading dose of 600 mg tralokinumab. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab.
OG001
Initial Treatment Period - Tralokinumab 150 mg Q2W
Week 0 to Week 16:
Tralokinumab 150 mg Q2W. Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab and 2 subcutaneous injections (each 1.0 mL) of placebo to receive a total loading dose of 300 mg tralokinumab. At subsequent visits (Q2W) each subject received 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab.
Secondary
Change in Patient Oriented Eczema Measure (POEM) From Baseline to Week 16
The POEM is a validated questionnaire used to assess disease symptoms in atopic eczema patients in both clinical practice and clinical trials. The tool consists of 7 items each addressing a specific symptom (itching, sleep, bleeding, weeping, cracking, flaking, and dryness). Subjects will score how often they have experienced each symptom over the previous week on a 5-point categorical response scale (0 = 'no days'; 1 = '1 to 2 days'; 2 = '3 to 4 days'; 3 = '5 to 6' days; 4 = 'every day'). The total score is the sum of the 7 items (range 0 to 28) and reflects disease-related morbidity; a high score is indicative of a worse disease severity.
Subjects in the full analysis set with non-missing baseline POEM score. The full analysis set (FAS) comprised all subjects randomised to initial treatment who were exposed to IMP and not randomised at the investigational sites where substantial quality/GCP issues were identified.
Posted
Least Squares Mean
Standard Error
units on a scale
From Week 0 to Week 16
ID
Title
Description
OG000
Initial Treatment Period - Tralokinumab 300 mg Q2W
Week 0 to Week 16:
Tralokinumab 300 mg Q2W Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total loading dose of 600 mg tralokinumab. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab.
Secondary
Tralokinumab Serum Trough Concentration at Week 16
Serum samples for determination of tralokinumab concentrations were analysed by a laboratory using a validated bioanalytical method.
Subjects in the full analysis set who were randomised to tralokinumab. The full analysis set (FAS) comprised all subjects randomised to initial treatment who were exposed to IMP and not randomised at the investigational sites where substantial quality/GCP issues were identified.
Posted
Geometric Mean
Geometric Coefficient of Variation
microgram/mL
At Week 16
ID
Title
Description
OG000
Initial Treatment Period - Tralokinumab 300 mg Q2W
Week 0 to Week 16:
Tralokinumab 300 mg Q2W Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total loading dose of 600 mg tralokinumab. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab.
OG001
Initial Treatment Period - Tralokinumab 150 mg Q2W
Week 0 to Week 16:
Tralokinumab 150 mg Q2W. Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab and 2 subcutaneous injections (each 1.0 mL) of placebo to receive a total loading dose of 300 mg tralokinumab. At subsequent visits (Q2W) each subject received 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab.
Secondary
Subjects With Investigator's Global Assessment (IGA) Score of 0 (Clear) or 1 (Almost Clear) at Week 52 Among Subjects With IGA Score of 0 or 1 at Week 16 After Initial Randomisation to Tralokinumab and Without Use of Rescue From Week 2 to Week 16
The IGA is an instrument used in clinical trials to rate the severity of the subject's global AD and is based on a 5-point scale ranging from 0 (clear) to 4 (severe).
Subjects in the full analysis set (FAS) who were re-randomised to maintenance treatment and achieved an Investigator's Global Assessment (IGA) Score of 0 (Clear) or 1 (Almost Clear) at Week 16 without use of rescue medication from Week 2 to Week 16.
Posted
Count of Participants
Participants
At Week 52
ID
Title
Description
OG000
Maintenance Treatment Period - Tralokinumab 300 mg Q2W
Week 16 to Week 52:
Subjects achieving a clinical response at Week 16 without use of rescue medication from Week 2 to Week 16 and initially randomised to tralokinumab 300 mg Q2W, re-randomised to tralokinumab 300 mg Q2W maintenance dosing regimen. At each visit (Q2W), subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab.
OG001
Maintenance Treatment Period - Tralokinumab 300 mg Q4W
Week 16 to Week 52:
Subjects achieving a clinical response at Week 16 without use of rescue medication from Week 2 to Week 16 and initially randomised to tralokinumab 300 mg Q2W, re-randomised to tralokinumab 300 mg Q4W maintenance dosing regimen. At each visit (Q2W), subject received alternating dose administrations: 2 subcutaneous injection (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab; or 2 subcutaneous injections (each 1.0 mL) of placebo.
Secondary
Subjects With at Least 75% Reduction in Eczema Area and Severity Index (EASI75) at Week 52 Among Subjects With at Least 75% Reduction in EASI at Week 16 After Initial Randomisation to Tralokinumab and Without Use of Rescue From Week 2 to Week 16
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
Subjects in the full analysis set (FAS) who were re-randomised to maintenance treatment and achieved at Least 75% Reduction in Eczema Area and Severity Index (EASI75) at Week 16 without use of rescue medication from Week 2 to Week 16.
Posted
Count of Participants
Participants
At Week 52
ID
Title
Description
OG000
Maintenance Treatment Period - Tralokinumab 300 mg Q2W
Week 16 to Week 52:
Subjects achieving a clinical response at Week 16 without use of rescue medication from Week 2 to Week 16 and initially randomised to tralokinumab 300 mg Q2W, re-randomised to tralokinumab 300 mg Q2W maintenance dosing regimen. At each visit (Q2W), subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab.
OG001
Maintenance Treatment Period - Tralokinumab 300 mg Q4W
Week 16 to Week 52:
Subjects achieving a clinical response at Week 16 without use of rescue medication from Week 2 to Week 16 and initially randomised to tralokinumab 300 mg Q2W, re-randomised to tralokinumab 300 mg Q4W maintenance dosing regimen. At each visit (Q2W), subject received alternating dose administrations: 2 subcutaneous injection (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab; or 2 subcutaneous injections (each 1.0 mL) of placebo.
Secondary
Tralokinumab Serum Trough Concentration at Week 66
Serum samples for determination of tralokinumab concentrations were analysed by a laboratory using a validated bioanalytical method.
13 subjects in maintenance safety analysis set who were initially randomised to tralokinumab and completed the maintenance treatment period on treatment. 234 subjects in the open-label safety analysis set.
Posted
Geometric Mean
Geometric Coefficient of Variation
microgram/mL
At Week 66
ID
Title
Description
OG000
Maintenance Treatment Period - Tralokinumab 300 mg Q2W
Week 16 to Week 52:
Subjects achieving a clinical response at Week 16 without use of rescue medication from Week 2 to Week 16 and initially randomised to tralokinumab 300 mg Q2W, re-randomised to tralokinumab 300 mg Q2W maintenance dosing regimen. At each visit (Q2W), subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab.
OG001
Maintenance Treatment Period - Tralokinumab 300 mg Q4W
Week 16 to Week 52:
Subjects achieving a clinical response at Week 16 without use of rescue medication from Week 2 to Week 16 and initially randomised to tralokinumab 300 mg Q2W, re-randomised to tralokinumab 300 mg Q4W maintenance dosing regimen. At each visit (Q2W), subject received alternating dose administrations: 2 subcutaneous injection (each 1.0 mL) of 150 mg tralokinumab to receive a total dose of 300 mg tralokinumab; or 2 subcutaneous injections (each 1.0 mL) of placebo.
Time Frame
Initial Treatment Period: Week 0 to Week 16, Maintenance Treatment Period: Week 16 to Week 52, Open-label Treatment: Week 16 to Week 52; Safety Follow-up Period: Week 52 to Week 66.
Description
Not provided
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Initial Treatment Period - Tralokinumab 300 Q2W
Initial Treatment Period - Tralokinumab 300 Q2W (n=97, PYE=29.48)
0
97
1
97
44
97
EG001
Initial Treatment Period - Tralokinumab 150 Q2W
Initial Treatment Period - Tralokinumab 150 Q2W (n=98, PYE=29.33)
0
98
3
98
47
98
EG002
Initial Treatment Period - Placebo
Initial Treatment Period - Placebo (n=94, PYE=27.93)
0
94
5
94
36
94
EG003
Maintenance Treatment Period - Tralokinumab 300 Q2W
Maintenance Treatment Period - Tralokinumab 300 Q2W (n=11, PYE=5.61)
0
11
0
11
7
11
EG004
Maintenance Treatment Period - Tralokinumab 300 Q4W
Maintenance Treatment Period - Tralokinumab 300 Q4W (n=13, PYE=6.78)
0
13
0
13
6
13
EG005
Maintenance Treatment Period - Tralokinumab 150 Q2W
Maintenance Treatment Period - Tralokinumab 150 Q2W (n=12, PYE=6.40)
0
12
0
12
7
12
EG006
Maintenance Treatment Period - Tralokinumab 150 Q4W
Maintenance Treatment Period - Tralokinumab 150 Q4W (n=14, PYE=6.53)
0
14
0
14
8
14
EG007
Maintenance Treatment Period - Placebo
Maintenance Treatment Period - Placebo (n=6, PYE=2.98)
LEO Pharma seeks publication of all Phase 3 clinical trials in peer-reviewed journals within 18 months of trial completion, regardless of whether the findings are positive or negative. If there is no multi-centre publication within 18 months after the clinical trial has been completed or terminated at all trial sites, the investigator has the right to publish the results from the clinical trial generated by the investigator.
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
Browse Leaves
Not provided
Browse Branches
Not provided
ID
Term
C574065
tralokinumab
Ancestor Terms
Not provided
Browse Leaves
Not provided
Browse Branches
Not provided
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0080 subjects
0 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0080 subjects
8 subjects
FG0058 subjects
FG0068 subjects
FG0074 subjects
FG0080 subjects
6 subjects
FG0054 subjects
FG0066 subjects
FG0072 subjects
FG0080 subjects
1 subjects
FG0041 subjects
FG0050 subjects
FG0061 subjects
FG0070 subjects
FG0080 subjects
Subject transferred to open-label treatment
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0036 subjects
FG0045 subjects
FG0054 subjects
FG0065 subjects
FG0072 subjects
FG0080 subjects
Randomised at site with quality/GCP issues identified, subject withdrawn from the trial
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0031 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0080 subjects
0 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG008214 subjects
0 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG00828 subjects
0 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG00819 subjects
Completed treatment (received the last planned dose of IMP) and withdrew from the trial at Week 50
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0081 subjects
Randomised at site with quality/GCP issues identified, subject withdrawn from the trial
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0088 subjects
14.6
± 1.7
46
BG003146
Male
BG00049
BG00152
BG00254
BG003155
10
BG00332
Not Hispanic or Latino
BG00089
BG00190
BG00290
BG003269
Unknown or Not Reported
BG0000
BG0010
BG0020
BG0030
58
BG003173
Black or African American
Title
Measurements
BG00014
BG0018
BG00212
BG00334
Asian
Title
Measurements
BG00021
BG00128
BG00223
BG00372
American Indian or Alaska Native
Title
Measurements
BG0000
BG0012
BG0021
BG0033
Native Hawaiian or Other Pacific Islander
Title
Measurements
BG0002
BG0010
BG0022
BG0034
Other
Title
Measurements
BG0005
BG0016
BG0024
BG00315
12
BG00352
Netherlands
Title
Measurements
BG0004
BG0014
BG0025
BG00313
Belgium
Title
Measurements
BG0002
BG0013
BG0023
BG0038
United States
Title
Measurements
BG00031
BG00133
BG00241
BG003105
Japan
Title
Measurements
BG00011
BG00110
BG00211
BG00332
Poland
Title
Measurements
BG00019
BG00120
BG00215
BG00354
United Kingdom
Title
Measurements
BG0001
BG0010
BG0023
BG0034
Australia
Title
Measurements
BG0005
BG0015
BG0024
BG00314
France
Title
Measurements
BG0002
BG0012
BG0024
BG0038
Germany
Title
Measurements
BG0005
BG0014
BG0022
BG00311
0
BG0020
BG0030
Almost Clear
Title
Measurements
BG0000
BG0010
BG0020
BG0030
Mild
Title
Measurements
BG0000
BG0010
BG0020
BG0030
Moderate
Title
Measurements
BG00052
BG00155
BG00254
BG003161
Severe
Title
Measurements
BG00048
BG00144
BG00245
BG003137
Missing
Title
Measurements
BG0001
BG0011
BG0021
BG0033
31.89
± 12.97
BG00231.25± 14.19
BG00331.68± 13.60
67.42
± 14.51
BG00267.70± 14.77
BG00367.84± 14.23
12.86
± 6.27
BG00213.14± 5.99
BG00313.10± 6.48
7.49
± 1.58
BG0027.45± 1.62
BG0037.58± 1.58
50.9
± 23.5
BG00350.9± 23.0
2.4
± 3.5
BG0032.4± 3.4
12.0
± 3.4
BG00312.3± 3.6
Superiority
Primary endpoint tested sequentially at a 5% significance level
OG001
OG002
Subjects with IGA score of 0 (clear) or 1 (almost clear) at Week 16 were considered responders. Subjects with missing data or subjects who received rescue medication from Week 2 to Week 16 were considered non-responders. Analysis was performed using Cochran-Mantel-Haenszel test stratified by region and baseline disease severity. The null hypothesis of no difference in response rate between tralokinumab 150 mg Q2W and placebo was tested against the 2-sided alternative that there is a difference.
Cochran-Mantel-Haenszel
<0.001
Based on the primary analysis of the primary estimand 'composite'.
Risk Difference (RD)
17.5
2-Sided
95
8.4
26.6
Mantel-Haenszel risk difference, stratified by region and baseline disease severity.
Superiority
Primary endpoint tested sequentially at a 5% significance level
OG002
Initial Treatment Period - Placebo
Week 0 to Week 16:
Placebo Q2W Placebo: Placebo contains the same excipients, in the same concentration, only lacking tralokinumab.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of placebo. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of placebo.
Units
Counts
Participants
OG00097
OG00198
OG00294
Title
Denominators
Categories
Title
Measurements
OG00027
OG00128
OG0026
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Subjects who achieved at least 75% reduction in EASI at Week 16 were considered responders. Subjects with missing data or subjects who received rescue medication from Week 2 to Week 16 were considered non-responders. Analysis was performed using Cochran-Mantel-Haenszel test stratified by region and baseline disease severity. The null hypothesis of no difference in response rate between tralokinumab 300 mg Q2W and placebo was tested against the 2-sided alternative that there is a difference.
Cochran-Mantel-Haenszel
<0.001
Based on the primary analysis of the primary estimand 'composite'.
Risk Difference (RD)
22.0
2-Sided
95
12.0
32.0
Mantel-Haenszel risk difference, stratified by region and baseline disease severity.
Superiority
Primary endpoint tested sequentially at a 5% significance level
OG001
OG002
Subjects who achieved at least 75% reduction in EASI at Week 16 were considered responders. Subjects with missing data or subjects who received rescue medication from Week 2 to Week 16 were considered non-responders. Analysis was performed using Cochran-Mantel-Haenszel test stratified by region and baseline disease severity. The null hypothesis of no difference in response rate between tralokinumab 150 mg Q2W and placebo was tested against the 2-sided alternative that there is a difference.
Cochran-Mantel-Haenszel
<0.001
Based on the primary analysis of the primary estimand 'composite'.
Risk Difference (RD)
22.5
2-Sided
95
12.4
32.6
Mantel-Haenszel risk difference, stratified by region and baseline disease severity.
Superiority
Primary endpoint tested sequentially at a 5% significance level
OG002
Initial Treatment Period - Placebo
Week 0 to Week 16:
Placebo Q2W Placebo: Placebo contains the same excipients, in the same concentration, only lacking tralokinumab.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of placebo. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of placebo.
Units
Counts
Participants
OG00096
OG00195
OG00290
Title
Denominators
Categories
Title
Measurements
OG00024
OG00122
OG0023
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Subjects with at least 4-point reduction in Adolescent Worst Pruritus NRS were considered responders. Subjects with missing data or who received rescue medication from Week 2 to Week 16 were considered non-responders. Analysis was performed using Cochran-Mantel-Haenszel test stratified by region and baseline disease severity. The null hypothesis of no difference in response rate between tralokinumab 300 mg Q2W and placebo was tested against the 2-sided alternative that there is a difference.
Cochran-Mantel-Haenszel
<0.001
Based on the primary analysis of the primary estimand 'composite'.
Risk Difference (RD)
21.7
2-Sided
95
12.3
31.1
Mantel-Haenszel risk difference, stratified by region and baseline disease severity.
Superiority
Secondary endpoint tested sequentially at a 2.5% significance level
OG001
OG002
Subjects with at least 4-point reduction in Adolescent Worst Pruritus NRS were considered responders. Subjects with missing data or who received rescue medication from Week 2 to Week 16 were considered non-responders. Analysis was performed using Cochran-Mantel-Haenszel test stratified by region and baseline disease severity. The null hypothesis of no difference in response rate between tralokinumab 150 mg Q2W and placebo was tested against the 2-sided alternative that there is a difference.
Cochran-Mantel-Haenszel
<0.001
Based on the primary analysis of the primary estimand 'composite'.
Risk Difference (RD)
19.9
2-Sided
95
10.6
29.2
Mantel-Haenszel risk difference, stratified by region and baseline disease severity.
Superiority
Secondary endpoint tested sequentially at a 5% significance level
OG002
Initial Treatment Period - Placebo
Week 0 to Week 16:
Placebo Q2W Placebo: Placebo contains the same excipients, in the same concentration, only lacking tralokinumab.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of placebo. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of placebo.
Units
Counts
Participants
OG00097
OG00198
OG00294
Title
Denominators
Categories
Title
Measurements
OG000-29.1± 2.4
OG001-27.5± 2.4
OG002-9.5± 3.0
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Repeated measurements model on post-baseline data. In case of no post-baseline assessments before initiation of rescue medication, the Week 2 change was imputed as 0. Data collected after permanent discontinuation of IMP or after use of rescue treatment from Week 2 to Week 16 were not included in the analysis.
Repeated measurements model
<0.001
Based on the primary analysis of the primary estimand 'hypothetical'.
Difference of least square means
-19.7
2-Sided
95
-27.1
-12.2
Superiority
This secondary endpoint was tested sequentially using the Holm-Bonferroni method for multiplicity adjustment at a 2.5% significance level after the sequential testing of the primary endpoints and first secondary endpoint, if these showed statistical significance.
OG001
OG002
Repeated measurements model on post-baseline data. In case of no post-baseline assessments before initiation of rescue medication, the Week 2 change was imputed as 0. Data collected after permanent discontinuation of IMP or after use of rescue treatment from Week 2 to Week 16 were not included in the analysis.
Repeated measurements model
<0.001
Based on the primary analysis of the primary estimand 'hypothetical'.
Difference of least square means
-18.0
2-Sided
95
-25.6
-10.4
Superiority
This secondary endpoint was tested sequentially using the Holm-Bonferroni method for multiplicity adjustment at a 5% significance level after the sequential testing of the primary endpoints and first secondary endpoint, if these showed statistical significance.
OG001
Initial Treatment Period - Tralokinumab 150 mg Q2W
Week 0 to Week 16:
Tralokinumab 150 mg Q2W. Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab and 2 subcutaneous injections (each 1.0 mL) of placebo to receive a total loading dose of 300 mg tralokinumab. At subsequent visits (Q2W) each subject received 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab.
OG002
Initial Treatment Period - Placebo
Week 0 to Week 16:
Placebo Q2W Placebo: Placebo contains the same excipients, in the same concentration, only lacking tralokinumab.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of placebo. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of placebo.
Units
Counts
Participants
OG00094
OG00195
OG00289
Title
Denominators
Categories
Title
Measurements
OG000-6.7± 0.6
OG001-6.1± 0.6
OG002-4.1± 0.7
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Repeated measurements model on post-baseline data. In case of no post-baseline assessments before initiation of rescue medication, the Week 2 change was imputed as 0. Data collected after permanent discontinuation of IMP or after use of rescue treatment from Week 2 to Week 16 were not included in the analysis.
Repeated measurements model
0.007
Based on the primary analysis of the primary estimand 'hypothetical'.
Difference of least square means
-2.6
2-Sided
95
-4.5
-0.7
Superiority
This secondary endpoint was tested sequentially using the Holm-Bonferroni method for multiplicity adjustment at a 2.5% significance level after the sequential testing of the primary endpoints and first secondary endpoint, if these showed statistical significance.
OG001
OG002
Repeated measurements model on post-baseline data. In case of no post-baseline assessments before initiation of rescue medication, the Week 2 change was imputed as 0. Data collected after permanent discontinuation of IMP or after use of rescue treatment from Week 2 to Week 16 were not included in the analysis.
Repeated measurements model
0.040
Based on the primary analysis of the primary estimand 'hypothetical'.
Difference of least square means
-2.0
2-Sided
95
-3.9
-0.1
Superiority
This secondary endpoint was tested sequentially using the Holm-Bonferroni method for multiplicity adjustment at a 5% significance level after the sequential testing of the primary endpoints and first secondary endpoint, if these showed statistical significance.
Week 0 to Week 16:
Tralokinumab 150 mg Q2W. Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab and 2 subcutaneous injections (each 1.0 mL) of placebo to receive a total loading dose of 300 mg tralokinumab. At subsequent visits (Q2W) each subject received 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab.
OG002
Initial Treatment Period - Placebo
Week 0 to Week 16:
Placebo Q2W Placebo: Placebo contains the same excipients, in the same concentration, only lacking tralokinumab.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of placebo. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of placebo.
Units
Counts
Participants
OG00097
OG00198
OG00294
Title
Denominators
Categories
Title
Measurements
OG000130
OG001175
OG002134
OG002
Initial Treatment Period - Placebo
Week 0 to Week 16:
Placebo Q2W Placebo: Placebo contains the same excipients, in the same concentration, only lacking tralokinumab.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of placebo. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of placebo.
Units
Counts
Participants
OG00097
OG00198
OG00294
Title
Denominators
Categories
Title
Measurements
OG0001
OG0017
OG0022
OG002
Initial Treatment Period - Placebo
Week 0 to Week 16:
Placebo Q2W Placebo: Placebo contains the same excipients, in the same concentration, only lacking tralokinumab.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of placebo. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of placebo.
Units
Counts
Participants
OG00097
OG00198
OG00294
Title
Denominators
Categories
Title
Measurements
OG00050
OG00145
OG00213
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Subjects who achieved at least 50% reduction in EASI at Week 16 were considered responders. Subjects with missing data or subjects who received rescue medication from Week 2 to Week 16 were considered non-responders. Analysis was performed using Cochran-Mantel-Haenszel test stratified by region and baseline disease severity. The null hypothesis of no difference in response rate between tralokinumab 300 mg Q2W and placebo was tested against the 2-sided alternative that there is a difference.
Cochran-Mantel-Haenszel
<0.001
Based on the primary analysis of the primary estimand 'composite'.
Risk Difference (RD)
38.5
2-Sided
95
26.8
50.2
Mantel-Haenszel risk difference, stratified by region and disease severity.
Superiority
The statistical test was not controlled for multiplicity.
OG001
OG002
Subjects who achieved at least 50% reduction in EASI at Week 16 were considered responders. Subjects with missing data or subjects who received rescue medication from Week 2 to Week 16 were considered non-responders. Analysis was performed using Cochran-Mantel-Haenszel test stratified by region and baseline disease severity. The null hypothesis of no difference in response rate between tralokinumab 150 mg Q2W and placebo was tested against the 2-sided alternative that there is a difference.
Cochran-Mantel-Haenszel
<0.001
Based on the primary analysis of the primary estimand 'composite'.
Risk Difference (RD)
32.4
2-Sided
95
20.6
44.1
Mantel-Haenszel risk difference, stratified by region and disease severity.
Superiority
The statistical test was not controlled for multiplicity.
OG002
Initial Treatment Period - Placebo
Week 0 to Week 16:
Placebo Q2W Placebo: Placebo contains the same excipients, in the same concentration, only lacking tralokinumab.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of placebo. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of placebo.
Units
Counts
Participants
OG00097
OG00198
OG00294
Title
Denominators
Categories
Title
Measurements
OG00017
OG00119
OG0024
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Subjects who achieved at least 90% reduction in EASI at Week 16 were considered responders. Subjects with missing data or subjects who received rescue medication from Week 2 to Week 16 were considered non-responders. Analysis was performed using Cochran-Mantel-Haenszel test stratified by region and baseline disease severity. The null hypothesis of no difference in response rate between tralokinumab 300 mg Q2W and placebo was tested against the 2-sided alternative that there is a difference.
Cochran-Mantel-Haenszel
0.002
Based on the primary analysis of the primary estimand 'composite'.
Risk Difference (RD)
13.7
2-Sided
95
5.2
22.2
Mantel-Haenszel risk difference, stratified by region and disease severity.
Superiority
The statistical test was not controlled for multiplicity.
OG001
OG002
Subjects who achieved at least 90% reduction in EASI at Week 16 were considered responders. Subjects with missing data or subjects who received rescue medication from Week 2 to Week 16 were considered non-responders. Analysis was performed using Cochran-Mantel-Haenszel test stratified by region and baseline disease severity. The null hypothesis of no difference in response rate between tralokinumab 150 mg Q2W and placebo was tested against the 2-sided alternative that there is a difference.
Cochran-Mantel-Haenszel
<0.001
Based on the primary analysis of the primary estimand 'composite'.
Risk Difference (RD)
15.3
2-Sided
95
6.5
24.1
Mantel-Haenszel risk difference, stratified by region and disease severity.
Superiority
The statistical test was not controlled for multiplicity.
OG002
Initial Treatment Period - Placebo
Week 0 to Week 16:
Placebo Q2W Placebo: Placebo contains the same excipients, in the same concentration, only lacking tralokinumab.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of placebo. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of placebo.
Units
Counts
Participants
OG00097
OG00198
OG00294
Title
Denominators
Categories
Title
Measurements
OG000-18.1± 1.3
OG001-18.1± 1.4
OG002-8.7± 1.6
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Repeated measurements model on post-baseline data. In case of no post-baseline assessments before initiation of rescue medication, the Week 2 change was imputed as 0. Data collected after permanent discontinuation of IMP or after use of rescue treatment from Week 2 to Week 16 were not included in the analysis.
Repeated measurements model
<0.001
Based on the primary analysis of the primary estimand 'hypothetical'.
Difference of least square means
-9.4
2-Sided
95
-13.5
-5.3
Superiority
The statistical test was not controlled for multiplicity.
OG001
OG002
Repeated measurements model on post-baseline data. In case of no post-baseline assessments before initiation of rescue medication, the Week 2 change was imputed as 0. Data collected after permanent discontinuation of IMP or after use of rescue treatment from Week 2 to Week 16 were not included in the analysis.
Repeated measurements model
<0.001
Based on the primary analysis of the primary estimand 'hypothetical'.
Difference of least square means
-9.4
2-Sided
95
-13.6
-5.3
Superiority
The statistical test was not controlled for multiplicity.
OG002
Initial Treatment Period - Placebo
Week 0 to Week 16:
Placebo Q2W Placebo: Placebo contains the same excipients, in the same concentration, only lacking tralokinumab.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of placebo. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of placebo.
Units
Counts
Participants
OG00097
OG00198
OG00294
Title
Denominators
Categories
Title
Measurements
OG00012
OG00116
OG0021
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Subjects who achieved at least 75% reduction in SCORAD at Week 16 were considered responders. Subjects with missing data or subjects who received rescue medication from Week 2 to Week 16 were considered non-responders. Analysis was performed using Cochran-Mantel-Haenszel test stratified by region and baseline disease severity. The null hypothesis of no difference in response rate between tralokinumab 300 mg Q2W and placebo was tested against the 2-sided alternative that there is a difference.
Cochran-Mantel-Haenszel
0.002
Based on the primary analysis of the primary estimand 'composite'.
Risk Difference (RD)
11.5
2-Sided
95
4.5
18.4
Mantel-Haenszel risk difference, stratified by region and disease severity.
Superiority
The statistical test was not controlled for multiplicity.
OG001
OG002
Subjects who achieved at least 75% reduction in SCORAD at Week 16 were considered responders. Subjects with missing data or subjects who received rescue medication from Week 2 to Week 16 were considered non-responders. Analysis was performed using Cochran-Mantel-Haenszel test stratified by region and baseline disease severity. The null hypothesis of no difference in response rate between tralokinumab 150 mg Q2W and placebo was tested against the 2-sided alternative that there is a difference.
Cochran-Mantel-Haenszel
<0.001
Based on the primary analysis of the primary estimand 'composite'.
Risk Difference (RD)
15.6
2-Sided
95
7.8
23.3
Mantel-Haenszel risk difference, stratified by region and disease severity.
Superiority
The statistical test was not controlled for multiplicity.
OG002
Initial Treatment Period - Placebo
Week 0 to Week 16:
Placebo Q2W Placebo: Placebo contains the same excipients, in the same concentration, only lacking tralokinumab.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of placebo. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of placebo.
Units
Counts
Participants
OG00097
OG00198
OG00294
Title
Denominators
Categories
Title
Measurements
OG00030
OG00130
OG0025
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Subjects who achieved at least 50% reduction in SCORAD at Week 16 were considered responders. Subjects with missing data or subjects who received rescue medication from Week 2 to Week 16 were considered non-responders. Analysis was performed using Cochran-Mantel-Haenszel test stratified by region and baseline disease severity. The null hypothesis of no difference in response rate between tralokinumab 300 mg Q2W and placebo was tested against the 2-sided alternative that there is a difference.
Cochran-Mantel-Haenszel
<0.001
Based on the primary analysis of the primary estimand 'composite'.
Risk Difference (RD)
26.2
2-Sided
95
16.1
36.3
Mantel-Haenszel risk difference, stratified by region and disease severity.
Superiority
The statistical test was not controlled for multiplicity.
OG001
OG002
Subjects who achieved at least 50% reduction in SCORAD at Week 16 were considered responders. Subjects with missing data or subjects who received rescue medication from Week 2 to Week 16 were considered non-responders. Analysis was performed using Cochran-Mantel-Haenszel test stratified by region and baseline disease severity. The null hypothesis of no difference in response rate between tralokinumab 150 mg Q2W and placebo was tested against the 2-sided alternative that there is a difference.
Cochran-Mantel-Haenszel
<0.001
Based on the primary analysis of the primary estimand 'composite'.
Risk Difference (RD)
25.5
2-Sided
95
15.3
35.7
Mantel-Haenszel risk difference, stratified by region and disease severity.
Superiority
The statistical test was not controlled for multiplicity.
OG002
Initial Treatment Period - Placebo
Week 0 to Week 16:
Placebo Q2W Placebo: Placebo contains the same excipients, in the same concentration, only lacking tralokinumab.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of placebo. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of placebo.
Units
Counts
Participants
OG00096
OG00196
OG00292
Title
Denominators
Categories
Title
Measurements
OG000-3.0± 0.3
OG001-2.7± 0.3
OG002-1.5± 0.3
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Repeated measurements model on post-baseline data. In case of no post-baseline assessments before initiation of rescue medication, the Week 2 change was imputed as 0. Data collected after permanent discontinuation of IMP or after use of rescue treatment from Week 2 to Week 16 were not included in the analysis.
Repeated measurements model
<0.001
Based on the primary analysis of the primary estimand 'hypothetical'.
Difference of least square means
-1.5
2-Sided
95
-2.4
-0.6
Superiority
The statistical test was not controlled for multiplicity.
OG001
OG002
Repeated measurements model on post-baseline data. In case of no post-baseline assessments before initiation of rescue medication, the Week 2 change was imputed as 0. Data collected after permanent discontinuation of IMP or after use of rescue treatment from Week 2 to Week 16 were not included in the analysis.
Repeated measurements model
0.007
Based on the primary analysis of the primary estimand 'hypothetical'.
Difference of least square means
-1.2
2-Sided
95
-2.1
-0.3
Superiority
The statistical test was not controlled for multiplicity.
OG002
Initial Treatment Period - Placebo
Week 0 to Week 16:
Placebo Q2W Placebo: Placebo contains the same excipients, in the same concentration, only lacking tralokinumab.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of placebo. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of placebo.
Units
Counts
Participants
OG00096
OG00195
OG00291
Title
Denominators
Categories
Title
Measurements
OG00028
OG00129
OG0028
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Subjects with at least 3-point reduction in Adolescent Worst Pruritus NRS were considered responders. Subjects with missing data or who received rescue medication from Week 2 to Week 16 were considered non-responders. Analysis was performed using Cochran-Mantel-Haenszel test stratified by region and baseline disease severity. The null hypothesis of no difference in response rate between tralokinumab 300 mg Q2W and placebo was tested against the 2-sided alternative that there is a difference.
Cochran-Mantel-Haenszel
<0.001
Based on the primary analysis of the primary estimand 'composite'.
Risk Difference (RD)
20.3
2-Sided
95
9.7
31.0
Mantel-Haenszel risk difference, stratified by region and disease severity.
Superiority
The statistical test was not controlled for multiplicity.
OG001
OG002
Subjects with at least 3-point reduction in Adolescent Worst Pruritus NRS were considered responders. Subjects with missing data or who received rescue medication from Week 2 to Week 16 were considered non-responders. Analysis was performed using Cochran-Mantel-Haenszel test stratified by region and baseline disease severity. The null hypothesis of no difference in response rate between tralokinumab 150 mg Q2W and placebo was tested against the 2-sided alternative that there is a difference.
Cochran-Mantel-Haenszel
<0.001
Based on the primary analysis of the primary estimand 'composite'.
Risk Difference (RD)
21.8
2-Sided
95
10.9
32.7
Mantel-Haenszel risk difference, stratified by region and disease severity.
Superiority
The statistical test was not controlled for multiplicity.
OG001
Initial Treatment Period - Tralokinumab 150 mg Q2W
Week 0 to Week 16:
Tralokinumab 150 mg Q2W. Tralokinumab: Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous administration.
At Day 0, each subject received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab and 2 subcutaneous injections (each 1.0 mL) of placebo to receive a total loading dose of 300 mg tralokinumab. At subsequent visits (Q2W) each subject received 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab.
OG002
Initial Treatment Period - Placebo
Week 0 to Week 16:
Placebo Q2W Placebo: Placebo contains the same excipients, in the same concentration, only lacking tralokinumab.
At Day 0, each subject received 4 subcutaneous injections (each 1.0 mL) of placebo. At subsequent visits (Q2W) each subject received 2 subcutaneous injections (each 1.0 mL) of placebo.
Units
Counts
Participants
OG00094
OG00195
OG00287
Title
Denominators
Categories
Title
Measurements
OG000-8.4± 0.8
OG001-7.8± 0.8
OG002-2.4± 1.0
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Repeated measurements model on post-baseline data. In case of no post-baseline assessments before initiation of rescue medication, the Week 2 change was imputed as 0. Data collected after permanent discontinuation of IMP or after use of rescue treatment from Week 2 to Week 16 were not included in the analysis.
Repeated measurements model
<0.001
Based on the primary analysis of the primary estimand 'hypothetical'.
Difference of least square means
-6.0
2-Sided
95
-8.4
-3.6
Superiority
The statistical test was not controlled for multiplicity.
OG001
OG002
Repeated measurements model on post-baseline data. In case of no post-baseline assessments before initiation of rescue medication, the Week 2 change was imputed as 0. Data collected after permanent discontinuation of IMP or after use of rescue treatment from Week 2 to Week 16 were not included in the analysis.
Repeated measurements model
<0.001
Based on the primary analysis of the primary estimand 'hypothetical'.
Difference of least square means
-5.4
2-Sided
95
-7.9
-3.0
Superiority
The statistical test was not controlled for multiplicity.
Units
Counts
Participants
OG00097
OG00198
Title
Denominators
Categories
Title
Measurements
OG000105.7± 39.0
OG00156.4± 35.4
OG002
Maintenance Treatment Period - Tralokinumab 150 mg Q2W
Week 16 to Week 52:
Subjects achieving a clinical response at Week 16 without use of rescue medication from Week 2 to Week 16 and initially randomised to tralokinumab 150 mg Q2W, re-randomised to tralokinumab 150 mg Q2W maintenance dosing regimen. At each visit (Q2W), subject received 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab.
OG003
Maintenance Treatment Period - Tralokinumab 150 mg Q4W
Week 16 to Week 52:
Subjects achieving a clinical response at Week 16 without use of rescue medication from Week 2 to Week 16 from Week 2 to Week 16 and initially randomised to tralokinumab 150 mg Q2W, re-randomised to tralokinumab 150 mg Q4W maintenance dosing regimen. At each visit (Q2W), subject received alternating dose administrations: 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab; or 2 subcutaneous injections (each 1.0 mL) of placebo.
Units
Counts
Participants
OG0008
OG0018
OG0029
OG00310
Title
Denominators
Categories
Title
Measurements
OG0003
OG0017
OG0026
OG0036
OG002
Maintenance Treatment Period - Tralokinumab 150 mg Q2W
Week 16 to Week 52:
Subjects achieving a clinical response at Week 16 without use of rescue medication from Week 2 to Week 16 and initially randomised to tralokinumab 150 mg Q2W, re-randomised to tralokinumab 150 mg Q2W maintenance dosing regimen. At each visit (Q2W), subject received 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab.
OG003
Maintenance Treatment Period - Tralokinumab 150 mg Q4W
Week 16 to Week 52:
Subjects achieving a clinical response at Week 16 without use of rescue medication from Week 2 to Week 16 from Week 2 to Week 16 and initially randomised to tralokinumab 150 mg Q2W, re-randomised to tralokinumab 150 mg Q4W maintenance dosing regimen. At each visit (Q2W), subject received alternating dose administrations: 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab; or 2 subcutaneous injections (each 1.0 mL) of placebo.
Units
Counts
Participants
OG0009
OG00113
OG00211
OG00314
Title
Denominators
Categories
Title
Measurements
OG0004
OG0017
OG0027
OG0037
OG002
Maintenance Treatment Period - Tralokinumab 150 mg Q2W
Week 16 to Week 52:
Subjects achieving a clinical response at Week 16 without use of rescue medication from Week 2 to Week 16 and initially randomised to tralokinumab 150 mg Q2W, re-randomised to tralokinumab 150 mg Q2W maintenance dosing regimen. At each visit (Q2W), subject received 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab.
OG003
Maintenance Treatment Period - Tralokinumab 150 mg Q4W
Week 16 to Week 52:
Subjects achieving a clinical response at Week 16 without use of rescue medication from Week 2 to Week 16 from Week 2 to Week 16 and initially randomised to tralokinumab 150 mg Q2W, re-randomised to tralokinumab 150 mg Q4W maintenance dosing regimen. At each visit (Q2W), subject received alternating dose administrations: 1 subcutaneous injection (1.0 mL) of 150 mg tralokinumab and 1 subcutaneous injection (1.0 mL) of placebo to receive a total dose of 150 mg tralokinumab; or 2 subcutaneous injections (each 1.0 mL) of placebo.
Subjects receiving initial treatment with tralokinumab 150 mg/tralokinumab 300 mg/placebo Q2W who did not achieve clinical response at Week 16 without use of rescue medication from Week 2 to Week 16, assigned to open-label treatment at Week 16 with tralokinumab 300 mg Q2W regimen + optional topical corticosteroids (TCS) OR Subjects receiving maintenance treatment with tralokinumab 150 mg Q2W/Q4W, tralokinumab 300 mg Q2W/Q4W, or placebo Q2W assigned to open-label treatment after Week 16 with tralokinumab 300 mg Q2W regimen + optional TCS if
IGA of at least 2 and not achieving EASI75 over at least a 4-week period (over 3 consecutive visits) for subjects with IGA=0 at Week 16.
IGA of at least 3 and not achieving EASI75 over at least a 4-week period (i.e. over 3 consecutive visits) for subjects with IGA=1 at Week 16.
Not achieving EASI75 over at least a 4-week period (over 3 consecutive visits) for subjects with IGA>1 at Week 16. At each visit, subjects received 2 subcutaneous injections (each 1.0 mL) of 150 mg tralokinumab Q2W to receive a total dose of 300 mg.
Units
Counts
Participants
OG0001
OG0015
OG0024
OG0033
OG004234
Title
Denominators
Categories
Title
Measurements
OG0005.9± NA1 subject provided data at Week 66, hence coefficient of variation could not be calculated.