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The primary purpose of this study is to evaluate the safety, tolerability, and pharmacokinetic (PK) parameters of the combination of APG777 + APG990 in adults with moderate-to-severe atopic dermatitis (AD), in comparison to dupilumab. The duration of the study will be approximately 82 weeks for each participant and will consist of a Screening Period (up to 6 weeks), Treatment Period (Baseline-Week 24), and Follow-up Period (Week 28-Week 76).
Participants will be randomized to APG777 + APG990 or dupilumab in a 1:1 ratio. Randomization will be stratified on Day 1 according to Baseline disease severity and geographic region.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| APG777 + APG990 | Experimental | Participants will receive protocol specified combination dose of APG777 + APG990 |
|
| Dupilumab | Active Comparator | Participants will receive protocol specified dose of Dupilumab |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| APG777 | Drug | Subcutaneous (SC) injection |
| |
| APG990 |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants with Treatment Emergent Adverse Events (TEAEs) | Up to 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Predose Serum Concentrations (Ctrough) of APG777 | PK parameters will be performed using a non-compartmental approach with a validated PK software. | Baseline, Week 1, 2, 4, 8, 12, 16, 20, 24 |
| Predose Serum Concentrations (Ctrough) of APG990 |
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Inclusion Criteria
Exclusion Criteria
Note: Additional protocol defined Inclusion/Exclusion criteria apply
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Investigational Site | Darlinghurst | New South Wales | 2010 | Australia | ||
| Investigational Site |
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| Drug |
SC injection |
|
| Dupilumab | Drug | SC injection |
|
|
PK parameters will be performed using a non-compartmental approach with a validated PK software.
| Baseline, Week 1, 2, 4, 8, 12, 16, 20, 24 |
| Maximum Serum Concentrations (Cmax) of APG777 | PK parameters will be performed using a non-compartmental approach with a validated PK software | Baseline, Week 1, 2, 4, 8, 12, 16, 20, 24 |
| Maximum Serum Concentrations (Cmax) of APG990 | PK parameters will be performed using a non-compartmental approach with a validated PK software. | Baseline, Week 1, 2, 4, 8, 12, 16, 20, 24 |
| Time to Reach Cmax (tmax) of APG777 | PK parameters will be performed using a non-compartmental approach with a validated PK software. If the maximum value occurs at more than one time point, tmax is defined as the first time point with this value. | Baseline, Week 1, 2, 4, 8, 12, 16, 20, 24 |
| Time to Reach Cmax (tmax) of APG990 | PK parameters will be performed using a non-compartmental approach with a validated PK software. If the maximum value occurs at more than one time point, tmax is defined as the first time point with this value. | Baseline, Week 1, 2, 4, 8, 12, 16, 20, 24 |
| Kogarah |
| New South Wales |
| 2217 |
| Australia |
| Investigational Site | Westmead | New South Wales | 2145 | Australia |
| Investigational Site | Woolloongabba | Queensland | 4102 | Australia |
| Investigational Site | Carlton | Victoria | 3053 | Australia |
| Investigational Site | East Melbourne | Victoria | 3002 | Australia |
| Investigational Site | Mitcham | Victoria | 3132 | Australia |
| Investigational Site | Parkville | Victoria | 3050 | Australia |
| Investigational Site | Fremantle | Western Australia | 6160 | Australia |
| Investigational Site | London | Ontario | N6H 5L5 | Canada |
| Investigational Site | Peterborough | Ontario | K9J 5K2 | Canada |
| Investigational Site | Richmond Hill | Ontario | L4B 1A5 | Canada |
| Investigational Site | Toronto | Ontario | M4E 1R7 | Canada |
| Investigational Site | Toronto | Ontario | M4W 2N4 | Canada |
| Investigational Site | Toronto | Ontario | M5A 3R6 | Canada |
| Investigational Site | Montreal | Quebec | H1Y 3L1 | Canada |
| Investigational Site | Québec | Quebec | G1W 1S2 | Canada |
| Investigational Site | Sherbrooke | Quebec | J1G 1X9 | Canada |
| Investigational Site | Hamilton | Waitako | 3204 | New Zealand |
| Investigational Site | Auckland | 1051 | New Zealand |
| 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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| ID | Term |
|---|---|
| C582203 | dupilumab |
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