Effects of Camoteskimab on Moderate to Severe Atopic Dermatitis in Adults
A Phase 2a, Multicenter, Randomized, Double-blind, 16-week Placebo-controlled Study With an Open Label Extension to Evaluate the Efficacy and Safety of Camoteskimab in Adults With Moderate to Severe Atopic Dermatitis
This study is testing a new treatment called camoteskimab to see if it can help adults with moderate to severe atopic dermatitis feel better and improve their skin condition.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Enrollment | 60 (estimated) |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Sponsor | Apollo Therapeutics Ltd Industry-sponsored |
| Drugs / interventions | Dupilumab, tralokinumab, lebrikizumab, camoteskimab |
| Locations | 35 sites (Phoenix, Arizona and 34 other locations) |
| Trial ID | NCT06436183 on ClinicalTrials.gov |
What this trial studies
This Phase 2a clinical trial evaluates the efficacy and safety of camoteskimab in adults suffering from moderate to severe atopic dermatitis (AD). The study is divided into two parts: the first part is a randomized, double-blind, placebo-controlled phase where participants receive either camoteskimab or a placebo. The second part is an open-label extension where all participants will receive camoteskimab. The trial aims to assess improvements in symptoms and overall skin condition in eligible participants.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18-75 with chronic moderate to severe atopic dermatitis who have not adequately responded to topical treatments.
Not a fit: Patients with mild atopic dermatitis or those who have not been on topical treatments may not benefit from this study.
Why it matters
Potential benefit: If successful, this treatment could significantly improve the quality of life for patients with moderate to severe atopic dermatitis.
How similar studies have performed: Other studies have shown promise with similar biologic treatments for atopic dermatitis, indicating potential for success with this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria:
1. Participants must be 18-75 years of age inclusive, at the time of signing the informed consent.
2. Chronic AD for at least 1 year.
3. Participants with moderate to severe AD defined by:
1. Investigator global assessment (IGA) score of ≥ 3 (on a scale of 0 to 4, in which three is moderate and four is severe) at Baseline.
2. AD involvement of ≥ 10% body surface area (BSA) at Baseline.
3. EASI score of ≥ 12 at Baseline.
4. Pruritus numerical rating scale (NRS) ≥ 4 at Baseline.
4. Participants who are candidates for systemic therapy, defined as inadequate response to treatment with topical medications, or for whom topical treatments are otherwise medically inadvisable.
5. Contraceptive use should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
Female participants:
* Sexually active females of childbearing potential must agree to use two forms of accepted methods of highly effective forms of contraception during the course of the study and for 3 months after their last dose of study drug. Effective birth control includes:
* IUD plus one barrier method.
* Stable doses of hormonal contraception for at least 3 months (e.g., oral, injectable, implant, transdermal) plus one barrier method.
* 2 barrier methods. Effective barrier methods are male or female condoms, diaphragms, and spermicides (creams or gels that contain a chemical to kill sperm); or
* A vasectomized partner\*.
Male participants:
* Sexually active male participants and males and who are partners of females of childbearing potential agree to use two forms of contraception as above and to not donate sperm or try to conceive during the treatment period and for at least 3 months after the last dose of study drug.
6. Participant provides signed informed consent.
Exclusion Criteria:
1. Participant has history of use of more than two (2) prior systemic therapies for AD (e.g.
biologics or JAKi) and who used any of these medications as follows:
1. Dupilumab, tralokinumab, lebrikizumab within 8 weeks prior to Baseline.
2. Systemic JAKi within 4 weeks prior to Baseline.
3. TCS, TCI, topical phosphodiesterase-4 (PDE4) inhibitors, and topical JAKi within 7 days prior to enrollment (at Baseline) or more than five half-lives whichever is longer.
2. Participant has a current diagnosis of other active skin disease (e.g., psoriasis or lupus erythematosus) or skin infection (bacterial, fungal, or viral) that may affect the evaluation of AD or would interfere with the study assessments.
3. Participant has a severe comorbidity that may require systemic steroids therapy or other interventions or requires active frequent monitoring (e.g., unstable chronic asthma).
4. Any clinically significant abnormalities in rhythm, conduction or morphology of the resting electrocardiogram (ECG) and any clinically significant abnormalities in the 12- lead ECG as considered by the perfusion index that may interfere with the interpretation of QTc interval changes.
5. Participant has AD involving ocular symptoms, or blepharitis, conjunctivitis, or keratitis diagnosed within the last 60 days prior to the screening visit, requiring chronic ocular corticosteroid treatment.
6. Participant has severe or uncontrolled seasonal or allergic rhinitis, asthma or any other non-AD disease as judged by the Investigator. Participants with seasonal or allergic rhinitis, asthma or any other non-AD disease requiring use of intranasal or inhaled corticosteroid that is stable and well-controlled are not excluded.
7. Active human immunodeficiency virus (HIV): confirmed positive anti-HIV antibody (HIV Ab) test; Active hepatitis B virus (HBV): confirmed hepatitis B surface antigen (HBs Ag) positive (+) or hepatitis B core antibody (HBc Ab) positive (+); Active hepatitis C virus (HCV): Confirmed hepatitis C antibody positive (+); evidence of active or latent TB
8. Diagnosed with a malignancy within 5 years of enrollment (suspected malignancy should be ruled out by blood or tissue biopsy, as applicable) with the exception of
* Completely resected basal call or squamous cell carcinoma of the skin.
* Carcinoma in situ of the cervix.
9. Has had previous exposure to anti-IL-18 therapy.
10. Treatment with any investigational agent, or any investigational device or procedure, within 28 days (or 5 half- lives, whichever is greater) of screening.
11. Has any of the following laboratory findings
1. Glomerular filtration rate (GFR) \< 30 mL/min/1.73 m2.
2. Hemoglobin ≤8 g/dL.
3. Neutrophils ≤1,500/μL.
4. Platelets ≤75,000/μL.
Where this trial is running
Phoenix, Arizona and 34 other locations
- Medical Dermatology Specialists, PC/US Dermatology Partners — Phoenix, Arizona, United States (Recruiting)
- California Dermatology & Clinical Research Institute — Encinitas, California, United States (Recruiting)
- First OC Dermatology Research, Inc. — Fountain Valley, California, United States (Recruiting)
- Center for Dermatology Clinical Research, Inc. — Fremont, California, United States (Recruiting)
- California Allergy and Asthma Medical Group — Los Angeles, California, United States (Recruiting)
- University of California Los Angeles Dermatology — Los Angeles, California, United States (Recruiting)
- Amicis Research Center (Northridge) — Northridge, California, United States (Recruiting)
- Cura Clinical Research — Oxnard, California, United States (Recruiting)
- VASDHS - Veterans Affairs San Diego Medical Center — San Diego, California, United States (Not_yet_recruiting)
- Clinical Sciences Institute — Santa Monica, California, United States (Recruiting)
- Renaissance Research and Medical Group — Cape Coral, Florida, United States (Recruiting)
- D&H National Research Centers, Inc. — Miami, Florida, United States (Recruiting)
- Avita Clinical Research - Dermatology — Tampa, Florida, United States (Recruiting)
- Sneeze, Wheeze & Itch Associates, LLC — Normal, Illinois, United States (Recruiting)
- Dawes Fretzin Clinical Research — Indianapolis, Indiana, United States (Recruiting)
- Skin Sciences, PLLC — Louisville, Kentucky, United States (Recruiting)
- Owensboro Dermatology Associates — Owensboro, Kentucky, United States (Recruiting)
- Revival Research Institute — Troy, Michigan, United States (Recruiting)
- Somerset Skin Centre — Troy, Michigan, United States (Recruiting)
- Michigan Dermatology Institute — Waterford, Michigan, United States (Recruiting)
- Advanced Dermatology and Skin Cancer Center - Saint Joseph — Saint Joseph, Missouri, United States (Recruiting)
- Skin Specialists PC — Omaha, Nebraska, United States (Recruiting)
- M3 Wake Research, Inc. — Raleigh, North Carolina, United States (Recruiting)
- ObjectiveHealth-The Skin Surgery Center for Clinical Research — Winston-Salem, North Carolina, United States (Recruiting)
- Central Sooner Research — Oklahoma City, Oklahoma, United States (Recruiting)
- Unity Clinical Research - Dermatology — Oklahoma City, Oklahoma, United States (Recruiting)
- Paddington Testing Co. Inc — Philadelphia, Pennsylvania, United States (Recruiting)
- Rodgers Dermatology — Frisco, Texas, United States (Recruiting)
- Center for Clinical Studies — Houston, Texas, United States (Recruiting)
- Clinical Trial Network — Houston, Texas, United States (Recruiting)
- Youthful Image — Edmonton, Alberta, Canada (Recruiting)
- Rejuvenation Dermatology Clinic Edmonton South — Edmonton, Alberta, Canada (Not_yet_recruiting)
- Kingsway Clinical Research — Etobicoke, Ontario, Canada (Recruiting)
- Clinique Medicale Saint-Louis — Québec, Quebec, Canada (Recruiting)
- Clinique Dermatologique de Sherbrooke — Sherbrooke, Quebec, Canada (Recruiting)
Study contacts
- Study coordinator: Apollo Therapeutics
- Email: AP43@apollotx.com
- Phone: +1 781 479 2267
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.