Oral KT-621 for moderate-to-severe atopic dermatitis
A Phase 2b, Randomized, Double-blind, Placebo-controlled, Parallel-group, Multicenter, Dose-ranging Study With an Open-label Period Investigating the Efficacy and Safety Profile of KT-621 Administered Orally to Participants With Moderate to Severe Atopic Dermatitis
This study will try an oral drug called KT-621 to reduce skin inflammation and itch in teens and adults with moderate-to-severe atopic dermatitis.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Enrollment | 200 (estimated) |
| Ages | 12 Years to 75 Years |
| Sex | All |
| Sponsor | Kymera Therapeutics, Inc. Industry-sponsored |
| Drugs / interventions | dupilumab, tralokinumab, upadacitinib, abrocitinib |
| Locations | 61 sites (Birmingham, Alabama and 60 other locations) |
| Trial ID | NCT07217015 on ClinicalTrials.gov |
What this trial studies
KT-621 is an oral targeted protein degrader aimed at STAT6 signaling and is being tested as a new systemic option for atopic dermatitis. This phase 2b trial randomizes adolescents and adults to KT-621 or placebo in a 16-week double-blind period followed by a 52-week open-label extension. Key outcomes include change in disease extent and severity (EASI, vIGA-AD, BSA), patient-reported itch, safety and tolerability, and drug behavior in the body (PK/PD). Participants must meet defined severity thresholds and have a history of inadequate response or inability to use topical therapies.
Who should consider this trial
Good fit: Ideal candidates are 12–75 years old with chronic moderate-to-severe atopic dermatitis (EASI ≥16, vIGA-AD ≥3, ≥10% BSA, weekly peak itch ≥4) and a recent history of inadequate response or inability to use topical treatments.
Not a fit: Patients with mild atopic dermatitis, those younger than 12, or those who are well-controlled on topical therapy are unlikely to benefit from this study.
Why it matters
Potential benefit: If successful, KT-621 could provide an effective oral treatment that reduces inflammation and itch for people with moderate-to-severe atopic dermatitis.
How similar studies have performed: Targeted STAT6 protein degraders are a novel approach with limited prior clinical data, though other systemic therapies for atopic dermatitis have demonstrated efficacy.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Must be 12 to 75 years of age, inclusive, at the time of signing the IAF (informed assent form) and/or ICF (informed consent form). * Must have chronic AD that has been present for at least 3 years (for participants ≥ 18 years of age) or 1 year (for participants \< 18 years of age) before the Screening visit. * Must have an EASI score ≥ 16 at the Screening and Baseline visits. * Must have a vIGA-AD score ≥ 3 (scale of 0 to 4) at the Screening and Baseline visits. * Must have at least 10% BSA of AD involvement at the Screening and Baseline visits. * Must have a weekly average Peak Pruritus NRS value ≥ 4 at the Baseline visit. * Must have a history within the 6 months prior to the Baseline visit of either an inadequate response to, or inability to take, topical medications for the treatment of AD. * Must apply a stable dose of moisturizer at least twice daily for at least 7 consecutive days immediately prior to the Baseline visit. Participants should be willing to continue using moisturizer twice daily during the study. * Must be willing and able to comply with scheduled visits, treatment plan, laboratory tests, other study-related procedures, and questionnaires, including completing the electronic diary (e-diary), for the duration of the study as required by the study protocol. * Must agree to contraceptive requirements in compliance with the clinical study and local requirements. Exclusion Criteria: * Must not have an unstable course of AD (spontaneously improving or rapidly deteriorating) as determined by the Investigator in the 4 weeks before the baseline visit. * Must not have other skin conditions, such as contact dermatitis, psoriasis, tinea corporis, or lupus erythematosus, that may interfere with study assessments. * Must not have a clinically relevant history of respiratory, gastrointestinal (GI), renal, hepatic, hematological, lymphatic, endocrinological, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, ophthalmological, or connective tissue diseases or disorders. * Must not have any surgical or medical procedure planned during participation in the study. * Must not have a history of alcohol or substance abuse within the previous 2 years. * Must not be pregnant or breastfeeding; must not be a woman planning to become pregnant or breastfeed during the study. * Must not have a history of lack of response to any medication targeting interleukin (IL)-4, IL-13, and/or janus kinase (JAK)- signal transducer and activator of transcription (STAT) pathways (e.g. dupilumab, tralokinumab, upadacitinib, abrocitinib) at approved doses after at least 16 weeks of therapy. * Must not have results from clinical laboratory safety tests that are outside the local reference range at Screening. * Must not have been dosed with any investigational drug or device in a clinical study within 8 weeks or 5 half-lives (whichever is longer) of KT-621 administration. * Female participants of childbearing potential must not have a positive or undetermined pregnancy result at the Screening and baseline visits. * Must not have any known factor, condition, or disease that might interfere with treatment compliance, study conduct or interpretation of the results. * Must not be taking or have taken any prespecified prohibited therapies within a specific timeframe as evaluated by the Investigator. * Must not have a known sensitivity to any of the components of KT-621. * Must not be a member of the investigational team or his/her immediate family.
Where this trial is running
Birmingham, Alabama and 60 other locations
- Kymera Investigative Site — Birmingham, Alabama, United States (Recruiting)
- Kymera Investigative Site — North Little Rock, Arkansas, United States (Recruiting)
- Kymera Investigative Site — Freemont, California, United States (Recruiting)
- Kymera Investigative Site — Los Angeles, California, United States (Recruiting)
- Kymera Investigative Site — Los Angeles, California, United States (Recruiting)
- Kymera Investigative Site — Santa Monica, California, United States (Recruiting)
- Kymera Investigative Site — Delray Beach, Florida, United States (Recruiting)
- Kymera Investigative Site — Miami, Florida, United States (Recruiting)
- Kymera Investigative Site — Miramar, Florida, United States (Recruiting)
- Kymera Investigative Site — Normal, Illinois, United States (Recruiting)
- Kymera Investigative Site — Indianapolis, Indiana, United States (Recruiting)
- Kymera Investigative Site — Ann Arbor, Michigan, United States (Recruiting)
- Kymera Investigative Site — Detroit, Michigan, United States (Recruiting)
- Kymera Investigative Site — The Bronx, New York, United States (Recruiting)
- Kymera Investigative Site — Fargo, North Dakota, United States (Recruiting)
- Kymera Investigative Site — Portland, Oregon, United States (Recruiting)
- Kymera Investigative Site — Portland, Oregon, United States (Recruiting)
- Kymera Investigative Site — Philadelphia, Pennsylvania, United States (Recruiting)
- Kymera Investigative Site — San Antonio, Texas, United States (Recruiting)
- Kymera Investigative Site — San Antonio, Texas, United States (Recruiting)
- Kymera Investigative Site — Darlinghurst, New South Wales, Australia (Recruiting)
- Kymera Investigative Site — Kogarah, New South Wales, Australia (Recruiting)
- Kymera Investigative Site — Brisbane, Queensland, Australia (Recruiting)
- Kymera Investigative Site — Woolloongabba, Queensland, Australia (Recruiting)
- Kymera Investigative Site — Melbourne, Victoria, Australia (Recruiting)
- Kymera Investigative Site — Calgary, Alberta, Canada (Recruiting)
- Kymera Investigative Site — Edmonton, Alberta, Canada (Recruiting)
- Kymera Investigative Site — Kelowna, British Columbia, Canada (Recruiting)
- Kymera Investigative Site — Surrey, British Columbia, Canada (Recruiting)
- Kymera Investigative Site — Markham, Ontario, Canada (Recruiting)
- Kymera Investigative Site — Ottawa, Ontario, Canada (Recruiting)
- Kymera Investigative Site — Richmond Hill, Ontario, Canada (Recruiting)
- Kymera Investigative Site — Toronto, Ontario, Canada (Recruiting)
- Kymera Investigative Site — Québec, Quebec, Canada (Recruiting)
- Kymera Investigative Site — Pardubice, Czechia (Recruiting)
- Kymera Investigative Site — Prague, Czechia (Recruiting)
- Kymera Investigative Site — Augsburg, Bavaria, Germany (Recruiting)
- Kymera Investigative Site — München, Bavaria, Germany (Recruiting)
- Kymera Investigative Site — Bad Bentheim, Germany (Recruiting)
- Kymera Investigative Site — Berlin, Germany (Recruiting)
- Kymera Investigative Site — Dresden, Germany (Recruiting)
- Kymera Investigative Site — Mainz, Germany (Recruiting)
- Kymera Investigative Site — Ichikawa, Chiba, Japan (Recruiting)
- Kymera Investigative Site — Kagoshima, Japan (Recruiting)
- Kymera Investigative Site — Kanagawa, Japan (Recruiting)
- Kymera Investigative Site — Osaka, Japan (Recruiting)
- Kymera Investigative Site — Sakai, Japan (Recruiting)
- Kymera Investigative Site — Chorzów, Poland (Recruiting)
- Kymera Investigative Site — Gdansk, Poland (Recruiting)
- Kymera Investigative Site — Gdynia, Poland (Recruiting)
+11 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Kymera Medical Director
- Email: clinicaltrials@kymeratx.com
- Phone: 857-285-5300
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.