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This is a two-part study that will evaluate the safety and efficacy of APG777 in participants with moderate-to-severe Atopic Dermatitis (AD). Part A (Proof-of-concept) and Part B (Dose-regimen Finding) will evaluate the safety and efficacy of various induction and maintenance dose regimens of APG777 compared to placebo. The study duration for any individual participant will be up to 106 weeks which includes: screening, induction, maintenance, and post-treatment follow-up periods. Participants randomized in Part A are not permitted to participate in Part B.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A: Induction Period: APG777 | Experimental | Participants will receive APG777 per protocol defined dosing regimen |
|
| Part A: Induction Period: Placebo | Placebo Comparator | Participants will receive matching Placebo injections per protocol defined dosing regimen |
|
| Part A: Maintenance Period: APG777 | Experimental | Participants will receive 1 of 2 maintenance regimens of APG777 per protocol defined dosing regimen |
|
| Part B: Induction Period: APG777 | Experimental | Participants will receive APG777 in 1 of 3 regimens per protocol defined dosing regimen |
|
| Part B: Induction Period: Placebo | Placebo Comparator | Participants will receive matching placebo injections per protocol defined dosing regimen |
|
| Part B: Maintenance Period: APG777 |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| APG777 | Drug | APG777 subcutaneous injection |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part A: Percent Change From Baseline in Eczema Area and Severity Index (EASI) | Baseline and at Week 16 | |
| Part B: Proportion of participants who achieve EASI 75 at Week 16 | At Week 16 |
| Measure | Description | Time Frame |
|---|---|---|
| Part A and B: Number of Participants with Treatment Emergent Adverse Events (TEAEs) | Up to 106 Weeks | |
| Part A and B: Change from Baseline in EASI | Baseline, through Week 16 and at Week 52 | |
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Inclusion Criteria:
Exclusion Criteria:
Note: Other protocol defined inclusion/exclusion criteria may apply.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Investigational Site | Fountain Valley | California | 92708 | United States | ||
| Investigational Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40739793 | Derived | Rubio D, Zhu E, Thurston A, Funk KA, York KA, Dambkowski CL, Badger D. Preclinical Safety of APG777, A Novel Extended Half-Life Anti-Interleukin-13 Monoclonal Antibody, in Cynomolgus Monkeys. Int J Toxicol. 2025 Nov-Dec;44(6):443-450. doi: 10.1177/10915818251355584. Epub 2025 Jul 30. |
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The Sponsor's study staff will also be blinded in the study.
Participants will receive APG777 per protocol defined dosing regimen |
|
| Placebo | Drug | Matching placebo subcutaneous injection |
|
| Part A and B: Percent Change from Baseline in EASI |
| Baseline through Week 16 and at Week 52 |
| Part A and B: Proportion of Participants Achieving EASI 50, 75, 90, and 100 Score | Baseline through Week 16 and at Week 52 |
| Part A and B: Proportion of Participants Achieving a Validated Investigator Global Assessment (vIGA-AD) Score of 0 (clear) or 1 (almost clear) and a >= 2-Point Reduction | Baseline through Week 16 and at Week 52 |
| Part A and B: Change from Baseline in Body Surface Area (BSA) Involvement | Baseline through Week 16 and at Week 52 |
| Part A and B: Proportion of Participants Achieving a >= 4 Point Improvement in the Weekly Mean of the Daily Itch Numeric Rating Scale (I-NRS) | Baseline through Week 16 and at Week 52 |
| Part A and B: Percent Change from Baseline in the Weekly Mean of the Daily I-NRS | Baseline through Week 16 and at Week 52 |
| Part A and B: Serum Concentrations of APG777 Over Time | Up to 106 Weeks |
| Part A and B: Predose Serum Concentrations of APG777 (Ctrough) | Up to 106 Weeks |
| Part A and B: Maximum concentration (Cmax) of APG777 | Up to 106 Weeks |
| Part A and B: Time to reach Cmax (tmax) | Up to 106 Weeks |
| Part A and B: Area Under the Concentration-Time Curve (AUC) from Time 0 to Time t (AUC0-t) in the Induction Period | Baseline to 16 Weeks |
| Part A and B: AUC Over the Dosing Interval (AUC0-tau) in the Maintenance Period | 16 Weeks to 52 Weeks |
| Los Angeles |
| California |
| 90024 |
| United States |
| Investigational Site | San Diego | California | 92123 | United States |
| Investigational Site | New Haven | Connecticut | 06519 | United States |
| Investigational Site | Coral Gables | Florida | 33134 | United States |
| Investigational Site | Jacksonville | Florida | 32256 | United States |
| Investigational Site | Margate | Florida | 33063 | United States |
| Investigational Site | Douglasville | Georgia | 30135 | United States |
| Investigational Site | Chicago | Illinois | 60657 | United States |
| Investigational Site | Skokie | Illinois | 60077 | United States |
| Investigational Site | West Lafayette | Indiana | 47906 | United States |
| Investigational Site | Bowling Green | Kentucky | 42104 | United States |
| Investigational Site | Rockville | Maryland | 20850 | United States |
| Investigational Site | Detroit | Michigan | 48202 | United States |
| Investigational Site | Troy | Michigan | 48084 | United States |
| Investigational Site | Portsmouth | New Hampshire | 13801 | United States |
| Investigational Site | New York | New York | 10023 | United States |
| Investigational Site | Wilmington | North Carolina | 28403 | United States |
| Investigational Site | Boardman | Ohio | 44512 | United States |
| Investigational Site | Mason | Ohio | 45040 | United States |
| Investigational Site | Portland | Oregon | 97201 | United States |
| Investigational Site | Pittsburgh | Pennsylvania | 15213 | United States |
| Investigational Site | Charleston | South Carolina | 29425 | United States |
| Investigational Site | Nashville | Tennessee | 37215 | United States |
| Investigational Site | Dallas | Texas | 75230 | United States |
| Investigational Site | Dallas | Texas | 75235 | United States |
| Investigational Site | San Antonio | Texas | 78213 | United States |
| Investigational Site | Norfolk | Virginia | 23502 | United States |
| Investigational Site | Mill Creek | Washington | 98012 | United States |
| Investigational Site | Calgary | Alberta | T2J 7E1 | Canada |
| Investigational Site | Calgary | Alberta | T3E 0B2 | Canada |
| Investigational Site | Edmonton | Alberta | T5J 3S9 | Canada |
| Investigational Site | Vancouver | British Columbia | V5Z 4E8 | Canada |
| Investigational Site | Winnipeg | Manitoba | R3M 3Z4 | Canada |
| Investigational Site | Fredericton | New Brunswick | E3B 1G9 | Canada |
| Investigational Site | Ajax | Ontario | L1S 7K8 | Canada |
| Investigational Site | Markham | Ontario | L3P 1X3 | Canada |
| Investigational Site | Mississauga | Ontario | L4Y 4C5 | Canada |
| Investigational Site | Ottawa | Ontario | K1K 4L2 | Canada |
| Investigational Site | Peterborough | Ontario | K9J 5K2 | Canada |
| Investigational Site | Toronto | Ontario | M3B 0A7 | Canada |
| Investigational Site | Toronto | Ontario | M4E 2Y9 | Canada |
| Investigational Site | Toronto | Ontario | M4W 2N4 | Canada |
| Investigational Site | Montreal | Quebec | H2X 2V1 | Canada |
| Investigational Site | Québec | Quebec | G1V4X7 | Canada |
| Investigational Site | Prague | 10000 | Czechia |
| Investigational Site | Prague | 10034 | Czechia |
| Investigational Site | Prague | 11000 | Czechia |
| Investigational Site | Prague | 15006 | Czechia |
| Investigational Site | Prague | 16000 | Czechia |
| Investigational Site | Rouen | Normandy | 76031 | France |
| Investigational Site | Martigues | 13500 | France |
| Investigational Site | Nantes | 44093 | France |
| Investigational Site | Freiburg im Breisgau | Baden-Wurttemberg | 79104 | Germany |
| Investigational Site | Heidelberg | Baden-Wurttemberg | 69120 | Germany |
| Investigational Site | Tübingen | Baden-Wurttemberg | 72076 | Germany |
| Investigational Site | Augsburg | Bavaria | 86179 | Germany |
| Investigational Site | München | Bavaria | 81377 | Germany |
| Investigational Site | Blankenfelde-Mahlow | Brandenburg | 15831 | Germany |
| Investigational Site | Darmstadt | Hesse | 64283 | Germany |
| Investigational Site | Frankfurt am Main | Hesse | 60590 | Germany |
| Investigational Site | Bad Bentheim | Lower Saxony | 48455 | Germany |
| Investigational Site | Münster | North Rhine Westfalia | 48149 | Germany |
| Investigational Site | Dresden | Saxony | 01307 | Germany |
| Investigational Site | Kiel | Schleswig-Holstein | 24105 | Germany |
| Investigational Site | Lübeck | Schleswig-Holstein | 23538 | Germany |
| Investigational Site | Berlin | 10117 | Germany |
| Investigational Site | Hamburg | 20246 | Germany |
| Investigational Site | Hamburg | 20354 | Germany |
| Investigational Site | Debrecen | Hajdú-Bihar | 4032 | Hungary |
| Investigational Site | Budapest | 1085 | Hungary |
| Investigational Site | Szeged | 6720 | Hungary |
| Investigational Site | Wroclaw | Lower Silesian Voivodeship | 50-450 | Poland |
| Investigational Site | Wroclaw | Lower Silesian Voivodeship | 51-503 | Poland |
| Investigational Site | Lublin | Lublin Voivodeship | 20-573 | Poland |
| Investigational Site | Warsaw | Masovian Voivodeship | 01-595 | Poland |
| Investigational Site | Warsaw | Masovian Voivodeship | 02-482 | Poland |
| Investigational Site | Gdansk | Pomeranian Voivodeship | 80-546 | Poland |
| Investigational Site | Katowice | Silesian Voivodeship | 40-600 | Poland |
| Investigational Site | Sosnowiec | Silesian Voivodeship | 41-218 | Poland |
| Investigational Site | Szczecin | West Pomeranian Voivodeship | 71-500 | Poland |
| Investigational Site | Krakow | Woj. Małopolskie | 30-727 | Poland |
| Investigational Site | Lodz | Łódź Voivodeship | 90-338 | Poland |
| Investigational Site | Santiago de Compostela | A Coruña | 15706 | Spain |
| Investigational Site | Badalona | Barcelona | 08916 | Spain |
| Investigational Site | Las Palmas de Gran Canaria | Canary Islands | 35010 | Spain |
| Investigational Site | Alicante | 03010 | Spain |
| Investigational Site | Barcelona | 08041 | Spain |
| Investigational Site | Madrid | 28006 | Spain |
| Investigational Site | Madrid | 28040 | Spain |
| Investigational Site | Zaragoza | 50009 | Spain |
| Investigational Site | Salford | Greater Manchester | M6 8HD | United Kingdom |
| Investigational Site | Dudley | West Midlands | DY1 2HQ | United Kingdom |
| Investigational Site | London | SE1 9RT | United Kingdom |
| 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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