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MOR106 clinical development in atopic dermatitis was stopped for futility
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To investigate the safety and tolerability of repeated subcutaneous (s.c.) doses of MOR106 administered concomitantly with topical corticosteroids (TCS) in participants with moderate to severe atopic dermatitis (AD) who are candidates for systemic therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | Participants will receive MOR106 matching placebo via s.c. injection every other week on Day 1, 15, 29 and 43 given concomitantly with a medium potency TCS once daily until Day 57. |
|
| MOR106 320 mg | Experimental | Participants will receive MOR106 320 milligrams (mg) via s.c. injection every other week on Day 15, 29 and 43 given concomitantly with a medium potency topical TCS once daily until Day 57. A loading dose of MOR106 2 x 320 mg via s.c. injection will be administered on Day 1. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MOR106 | Drug | MOR106 liquid formulation for s.c. injection administered concomitantly with TCS (medium potency). |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Adverse Event of Special Interest (AESIs), Serious Adverse Events (SAEs) | An Adverse Events (AE) was any untoward medical occurrence, new or worsening of any pre-existing condition, in a clinical study participant administered a medicinal product and which did not necessarily had to have a causal relationship with the treatment. TEAEs: AES with an onset date on or after the start date of the IMP administration. AESIs: skin-related events (SRE) (except exacerbation and infective exacerbation of AD) or injection site reactions (ISRs) as per common terminology criteria for AEs (Grade 3: ulceration or necrosis; severe tissue damage; operative intervention indicated, Grade 4: life-threatening consequences; urgent intervention indicated, Grade 5: death ). An SAE: AE that resulted in any of the following outcomes: death; life threatening; results in persistent or significant disability/incapacity; requires in-patient hospitalization or prolongation of existing hospitalization; congenital anomaly/birth defect; is medically significant. | Day 1 up to Day 169/Early discontinuation(ED) |
| Measure | Description | Time Frame |
|---|---|---|
| Serum Concentrations of MOR106 | Day 1, Day 4, Day 15, Day 29, Day 43, Day 57, Day 71, Day 85, Day 99, Day 113, Day 127, Day 141, Day 155 and Day 169 | |
| Number of Participants With Anti-drug Antibodies (ADAs) | Day 1 up to Day 169/ED |
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Inclusion Criteria:
Exclusion Criteria:
Prior treatment with MOR106.
Known hypersensitivity to any investigational medicinal product (IMP) ingredients as determined by the investigator (such as, but not limited to, anaphylaxis requiring hospitalization).
AD lesions located predominantly (≥ 50% of cumulative lesional area) on face and genital areas.
Any concurrent illness, condition, disability, or clinically significant abnormality (including laboratory tests, a New York Heart Association Classification (NYHA) ≥ III/IV) or clinically significant illness in the 3 months prior to initial IMP administration that, in the investigator's opinion, represents a safety risk for the participant's participation in the study, may affect the interpretation of clinical safety or efficacy data, or may prevent the participant from safely completing the assessments required by the protocol.
Clinically significant abnormalities at the discretion of the investigator detected on vital signs or physical examination (other than AD) at screening or baseline (Day 1 predose).
History of or a current immunosuppressive condition (e.g. human immunodeficiency virus [HIV] infection, as determined by a positive HIV test at screening).
Active chronic or acute skin infection requiring treatment with systemic (oral, sc or iv) antibiotics, antivirals or antifungals within 4 weeks of baseline, or clinical signs of infective eczema within 7 days before baseline (Day 1 pre-dose).
Having used any of the following treatments:
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| Name | Affiliation | Role |
|---|---|---|
| Galapagos Medical Information | Lakefront Biotherapeutics NV | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| First OC Dermatology | Fountain Valley | California | 92708 | United States | ||
| Marvel Research, LLC |
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A total of 76 participants were screened of which 33 participants were randomized into the study.
Participants were enrolled at study sites in the United States. The first participant was screened on 25 Mar 2019. The last study visit occurred on 27 Feb 2020.
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Participants received MOR106 matching placebo via subcutaneous (s.c.) injection every other week on Day 1, 15, 29 and 43 given concomitantly with medium potency topical corticosteroid (TCS) once daily until Day 57. |
| FG001 | MOR106 320 mg |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jun 25, 2019 | Dec 8, 2020 |
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| Placebo | Drug | Placebo liquid formulation for s.c. injection administered concomitantly with TCS (medium potency). |
|
| Huntington Beach |
| California |
| 92647 |
| United States |
| LA Universal Research Center, Inc. | Los Angeles | California | 90057 | United States |
| MedDerm Associates | San Diego | California | 92103 | United States |
| Encore Medical Research | Hollywood | Florida | 33021 | United States |
| Advanced Research Institute of Miami LLC | Homestead | Florida | 33030 | United States |
| Vista Health Research | Miami | Florida | 33185 | United States |
| Arlington Dermatology | Rolling Meadows | Illinois | 60008 | United States |
| Dawes Fretzin Clinical Research Group, LLC | Indianapolis | Indiana | 46250 | United States |
| DS Research | Louisville | Kentucky | 40241 | United States |
| Greenwich Village Dermatology | New York | New York | 10012 | United States |
| Center for Clinical Studies | Houston | Texas | 77004 | United States |
| Progressive Clinical Research | San Antonio | Texas | 78229 | United States |
| Center for Clinical Studies | Webster | Texas | 77598 | United States |
Participants received MOR106 320 milligrams (mg) via s.c. injection every other week on Day 15, 29 and 43 given concomitantly with a medium potency TCS once daily until Day 57. A loading dose of MOR106 2 x 320 mg via s.c. injection was administered on Day 1. |
| COMPLETED |
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| NOT COMPLETED |
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The safety analysis set included all participants who received at least one dose of investigational medicinal product (IMP).
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| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Participants received MOR106 matching placebo via s.c. injection every other week on Day 1, 15, 29 and 43 given concomitantly with medium potency TCS once daily until Day 57. |
| BG001 | MOR106 320 mg | Participants received MOR106 320 mg via s.c. injection every other week on Day 15, 29 and 43 given concomitantly with a medium potency TCS once daily until Day 57. A loading dose of MOR106 2 x 320 mg via s.c. injection was administered on Day 1. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants | No |
| |||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants | No |
| |||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants | No |
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| 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 | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Adverse Event of Special Interest (AESIs), Serious Adverse Events (SAEs) | An Adverse Events (AE) was any untoward medical occurrence, new or worsening of any pre-existing condition, in a clinical study participant administered a medicinal product and which did not necessarily had to have a causal relationship with the treatment. TEAEs: AES with an onset date on or after the start date of the IMP administration. AESIs: skin-related events (SRE) (except exacerbation and infective exacerbation of AD) or injection site reactions (ISRs) as per common terminology criteria for AEs (Grade 3: ulceration or necrosis; severe tissue damage; operative intervention indicated, Grade 4: life-threatening consequences; urgent intervention indicated, Grade 5: death ). An SAE: AE that resulted in any of the following outcomes: death; life threatening; results in persistent or significant disability/incapacity; requires in-patient hospitalization or prolongation of existing hospitalization; congenital anomaly/birth defect; is medically significant. | The safety analysis set included all participants who received at least one dose of IMP. | Posted | Count of Participants | Participants | No | Day 1 up to Day 169/Early discontinuation(ED) |
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| Secondary | Serum Concentrations of MOR106 | The pharmacokinetic (PK) analysis population was a subset of safety analysis set and included all participants who had available and evaluable serum concentration data. Participants in PK population with available data at specified timepoint. | Posted | Mean | Standard Deviation | microgram per milliliter (µg/mL) | Day 1, Day 4, Day 15, Day 29, Day 43, Day 57, Day 71, Day 85, Day 99, Day 113, Day 127, Day 141, Day 155 and Day 169 |
|
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| Secondary | Number of Participants With Anti-drug Antibodies (ADAs) | Safety analysis set. | Posted | Count of Participants | Participants | No | Day 1 up to Day 169/ED |
|
|
Day 1 up to Day 169/ED
Safety analysis set.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo | Participants received MOR106 matching placebo via s.c. injection every other week on Day 1, 15, 29 and 43 given concomitantly with medium potency TCS once daily until Day 57. | 0 | 11 | 0 | 11 | 5 | 11 |
| EG001 | MOR106 320 mg | Participants received MOR106 320 mg via s.c. injection every other week on Day 15, 29 and 43 given concomitantly with a medium potency TCS once daily until Day 57. A loading dose of MOR106 2 x 320 mg via s.c. injection was administered on Day 1. | 0 | 22 | 1 | 22 | 11 | 22 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Gastric ulcer | Gastrointestinal disorders | MedDRA Version 23.0 | Systematic Assessment |
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| Pyrexia | General disorders | MedDRA Version 23.0 | Systematic Assessment |
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| Pneumonia | Infections and infestations | MedDRA Version 23.0 | Systematic Assessment |
| |
| Hodgkin's disease | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA Version 23.0 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Injection site reaction | General disorders | MedDRA Version 23.0 | Systematic Assessment |
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| Folliculitis | Infections and infestations | MedDRA Version 23.0 | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA Version 23.0 | Systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA Version 23.0 | Systematic Assessment |
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| Hyperuricaemia | Metabolism and nutrition disorders | MedDRA Version 23.0 | Systematic Assessment |
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| Skin exfoliation | Skin and subcutaneous tissue disorders | MedDRA Version 23.0 | Systematic Assessment |
| |
| Squamous cell carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA Version 23.0 | Systematic Assessment |
| |
| Burning sensation | Nervous system disorders | MedDRA Version 23.0 | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA Version 23.0 | Systematic Assessment |
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| Presyncope | Nervous system disorders | MedDRA Version 23.0 | Systematic Assessment |
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| Atrioventricular block first degree | Cardiac disorders | MedDRA Version 23.0 | Systematic Assessment |
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| Tachycardia | Cardiac disorders | MedDRA Version 23.0 | Systematic Assessment |
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| Arthropod bite | Injury, poisoning and procedural complications | MedDRA Version 23.0 | Systematic Assessment |
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| Foot fracture | Injury, poisoning and procedural complications | MedDRA Version 23.0 | Systematic Assessment |
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| Miliaria | Skin and subcutaneous tissue disorders | MedDRA Version 23.0 | Systematic Assessment |
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The study was terminated as MOR106, clinical development in atopic dermatitis was stopped for futility.
The sponsor must review and approve any results of the study or abstracts for professional meetings prepared by the investigator(s). Published data must not compromise the objectives of the study. Data from individual study centers in multicenter studies must not be published separately.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Galapagos Medical Information | Galapagos NV | +32 15 342900 | medicalinfo@glpg.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Mar 12, 2020 | Dec 8, 2020 | SAP_001.pdf |
| ID | Term |
|---|---|
| D003876 | Dermatitis, Atopic |
| ID | Term |
|---|---|
| D012873 | Skin Diseases, Genetic |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D003872 | Dermatitis |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D017443 | Skin Diseases, Eczematous |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
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| Male |
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| Not Hispanic or Latino |
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| Unknown or Not Reported |
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| Asian |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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| AESI: ISRs |
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| SAE |
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