Investigating how Amlitelimab affects the metabolism of certain medications in patients with atopic dermatitis

An Open-label, Drug-drug Interaction Study to Investigate the Effects of Amlitelimab on the Pharmacokinetics of Selected Cytochrome P450 Substrates in Adult Participants With Moderate-to-severe Atopic Dermatitis

This study is testing how the medication Amlitelimab affects the way certain other drugs are processed in patients with atopic dermatitis.

Quick facts

• Phase: Phase 1
• Study type: Interventional
• Enrollment: 20 (estimated)
• Ages: 18 Years to 65 Years
• Sex: All
• Sponsor: Sanofi (Industry-sponsored)
• Drugs / interventions: amlitelimab
• Locations: 1 site (Berlin)
• Trial ID: NCT06686628 on ClinicalTrials.gov

What this trial studies

This open-label, single-group Phase 1 study aims to evaluate the pharmacokinetics of selected cytochrome P450 substrates when administered alongside Amlitelimab in patients with atopic dermatitis. Participants will undergo a treatment period lasting up to 29 weeks, with a total of 23 visits planned. The study will assess the effects of Amlitelimab on the metabolism of drugs like Midazolam, Caffeine, Metoprolol, and Omeprazole. The findings could provide insights into drug interactions and optimize treatment regimens for patients with atopic dermatitis.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18 to 65 with a history of atopic dermatitis for at least one year and specific severity criteria.

Not a fit: Patients with mild atopic dermatitis or those not meeting the inclusion criteria may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could enhance the safety and efficacy of treatment regimens for patients with atopic dermatitis by identifying potential drug interactions.

How similar studies have performed: Other studies have shown success in evaluating drug interactions with similar methodologies, indicating a promising approach.

Eligibility criteria

Inclusion Criteria:

Participants are eligible to be included in the study only if all of the following criteria apply:

* Male or female participant aged 18 to 65 years (inclusive), at the time of the informed consent is signed.
* Participants must have AD as defined by the American Academy of Dermatology Consensus Criteria (2014) for 1 year or longer before signing of informed consent.
* The EASI score ≥16 at Screening and Check-in (Day -1).
* vIGA-AD score ≥3 (on the 0 to 4 vIGA-AD scale) at Screening and Check-in (Day -1).
* AD involvement of ≥10% body surface area at Screening and Check-in (Day -1).
* Participants must have documented history within 6 months prior to Screening and Check-in (Day -1), of either inadequate response (including inadequate efficacy or medical inadvisability) of topical treatments.
* Body weight within 40 to 150 kg at Screening and Day 1 and body mass index (BMI) \<40 kg/m2 (inclusive).
* Capable of giving signed informed consent.

Exclusion Criteria:

Participants are excluded from the study if any of the following criteria apply:

* Known history of significant immunosuppression or suspected current significant immunosuppression, including history of invasive opportunistic, or helminthic infections.
* Any malignancies or history of malignancies prior to baseline (except for non-melanoma skin cancer that has been excised and cured for more than 5 years prior to baseline).
* Any concomitant illness that would, in the Investigator's opinion, inhibit the participant's participation in the study, including for example, but not limited to, hypertension, renal disease, neurological conditions, heart failure, and pulmonary disease.
* Any medical condition which, in the Investigator's opinion may present an unreasonable risk to the study participants as a result of his/her participation in this clinical study, may make participant's participation unreliable, or may interfere with study assessments.
* Any active or chronic infection including helminthic infection requiring systemic treatment within 4 weeks prior to baseline (1 week in the event of superficial skin infections) and any infection which as per Investigator's opinion precludes the participant's participation in the study or acute infection requiring treatment with systemic antibiotics, antivirals, antiprotozoals, or antifungals at Screening or Check--in (Day -1).
* History or presence of substance abuse (including alcohol, nicotine) prior to Check-in (Day 1/V2) or regular alcohol consumption (\>14 units per week for males and \>7 units per week for females).
* In the Investigator's opinion, medical conditions related to prior AD medications that have not healed/fully recovered for more than 2 weeks before the Screening visit, including, but not limited to, conjunctivitis, keratitis, eosinophilic conditions, arthralgia, herpes zoster, thrombosis.
* Use of tobacco- or nicotine-containing products within 6 months prior to Check-in (Day -1).
* Poor metabolizers for CYP2C9, CYP2C19, or CYP2D6 based on genotyping.
* Treatment with a live (attenuated) vaccine within 12 weeks prior to baseline; failure to complete non-live immunization required by local regulation (eg, vaccination for COVID-19) at least 14 days prior to baseline.
* Any contraindication to one or more of the following CYP cocktail study interventions, according to the applicable labeling:

  * Caffeine
  * Metoprolol
  * Midazolam
  * Omeprazole
  * Warfarin
* Administration, within 14 days before baseline or within a period of 5 times the elimination half-life of the medication before baseline, whichever is longer, of any medication that is a known inducer or inhibitor of either one or more of the following CYP enzymes: CYP3A4, CYP2C19, CYP2C9, CYP2D6, and CYP1A2.
* Administration, within 14 days before baseline or within a period of 5 times the elimination half-life of the medication before baseline, whichever is longer, of:

  * Caffeine
  * Metoprolol
  * Midazolam
  * Omeprazole
  * Warfarin.
* Consumption of any 1 or more of the following food items and/or beverages within 1 week prior to baseline:

  * Grapefruit or grapefruit juice, apple or apple juice, orange or orange juice, lemons or lemon juice, limes or lime juice
  * Vegetables from the mustard green family (eg, broccoli)
  * Charbroiled meats
  * Caffeinated beverages, foods or drugs containing caffeine as well as decaffeinated coffee.

Participants who are not willing to abstain from the consumption of these food items and/or beverages for certain periods during the study (Day 1 to Day 8, and Day 168 to Day 183) will also be excluded.

* History of excessive consumption of beverages containing caffeine (more than 4 cups or glasses per day). Participants who are not willing to abstain from the consumption of caffeine within 1 week prior to baseline, Day 1 to Day 8, and Day 168 to Day 183 will also be excluded.
* Female participants who are using any form of hormonal contraceptives (eg, oral, injectables, implants, patches, rings, hormone-impregnated IUDs) for birth control.
* Have previously completed or withdrawn from this study or any other study investigating amlitelimab or have previously received a dose of an investigational drug within the past 90 days or 5 half-lives, whichever is longer, prior to Check-in (Day -1).
* Concurrent participation in any other clinical study, including non-interventional studies.
* Participants positive for human immunodeficiency virus; participants with any of the following results at Screening (Visit 1): presence of HBsAg with or without HBV DNA PCR test or presence of antibody to hepatitis B core antigen (HBcAb) or presence of antibody to HBsAg with positive HBV DNA PCR test; positive hepatitis C total antibody confirmed by positive Hepatitis C virus RNA.
* Known or suspected hypersensitivity to any of the study interventions (amlitelimab, CYP substrates \[cocktail compounds\]) or excipients, or drug or other allergy that, in the opinion of the Investigator, contraindicates participation in the study.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Where this trial is running

Berlin

• Investigational Site Number : 2760001 — Berlin, Germany (Recruiting)

Study contacts

• Study coordinator: Trial Transparency email recommended (Toll free for US & Canada)

Conditions Dermatitis Atopic