This study evaluates ATI-045 versus placebo in patients with Moderate-to-Severe Atopic Dermatitis.

A Randomized, Double-Blinded, Placebo-Controlled Study to Evaluate the Efficacy and Safety of ATI-045 in Patients with Moderate-to-Severe Atopic Dermatitis.

Inclusion Criteria:

• Diagnosis of chronic atopic dermatitis that has been present for ≥ 6 months before the screening visit and with no significant AD flares during the past 4 weeks before screening
• Have active moderate to severe AD at screening and baseline visits
• EASI score ≥ 16 and ≥10% BSA at the screening and baseline visits
• History of inadequate response to treatment for AD with topical medications; or determination that topical treatments are otherwise medically inadvisable (e.g., because of important side effects or safety risks)
• Patient applied a stable dose of non-medicated topical moisturizer (ideally once or twice daily) for ≥ 7 days prior to the baseline visit and agrees to continue use during study

Exclusion Criteria:

• Treatment with any of the following:

  1. Intravenous immunoglobulin within 12 weeks prior to the baseline visit (W0D1)
  2. Systemic antibiotics within 2 weeks prior to the baseline visit (W0D1)
  3. Topical antibiotics within 1 week prior the baseline visit (W0D1)
  4. Topical medicated treatment that could affect atopic dermatitis should be prohibited for at least 2 weeks prior to baseline visit. Example: topical corticosteroids, crisaborole, calcineurin inhibitors, ruxolitinib, roflumilast, tars, antimicrobials, medical devices, and bleach baths.
  5. Topical products containing urea within 1 week prior to baseline visit (W0D1)
  6. Doxepin, hydroxyzine, or diphenhydramine within 1 week prior to the baseline visit (W0D1)
  7. Patient has used systemic treatments (other than biologics) that could affect AD less than 4 weeks or 5 half-lives (whichever is longer) prior to the baseline visit (W0D1), including, but not limited to, retinoids, calcineurin inhibitors, methotrexate, cyclosporine, hydroxycarbamide (hydroxyurea), azathioprine, oral/injectable corticosteroids, baricitinib, upadacitinib, and abrocitinib.
  8. Biologics for AD treatments (such as dupilumab, tralokinumab, lebrikizumab, investigational biologics) within 5 half- lives or 12 weeks, whichever is longer prior to the baseline visit (W0D1)
  9. An investigational drug (non-biologic) within 4 weeks or within 5 half-lives (if known), whichever is longer prior to the baseline visit (W0D1)
  10. Phototherapy and photochemotherapy for AD within 4 weeks prior to the baseline visit (W0D1)
  11. A live (attenuated) vaccine within 12 weeks prior to the baseline visit (W0D1)

• History of anaphylaxis following biologic therapy.

• History of allergy to corticosteroids, diphenhydramine, hydroxyzine, cetirizine, or fexofenadine.