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Efficacy of lebrikizumab in adolescent patients with moderate-to-severe atopic dermatitis: 16-week results from three randomized phase 3 clinical trials

Lebrikizumab, a high-affinity monoclonal antibody targeting IL-13, previously demonstrated clinical efficacy in three randomized, double-blind, placebo-controlled Phase 3 trials that included adults and adolescents with moderate-to-severe atopic dermatitis (AD): ADvocate1, ADvocate2, and ADhere. Thi...

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Published in:The Journal of dermatological treatment 2024-12, Vol.35 (1), p.2324833
Main Authors: Hebert, Adelaide A, Flohr, Carsten, Hong, H Chih-Ho, Irvine, Alan D, Pierce, Evangeline, Elmaraghy, Hany, Pillai, Sreekumar, Dawson, Zach, Chen, Sherry, Armengol, Clara, Siegfried, Elaine, Weidinger, Stephan
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container_title The Journal of dermatological treatment
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creator Hebert, Adelaide A
Flohr, Carsten
Hong, H Chih-Ho
Irvine, Alan D
Pierce, Evangeline
Elmaraghy, Hany
Pillai, Sreekumar
Dawson, Zach
Chen, Sherry
Armengol, Clara
Siegfried, Elaine
Weidinger, Stephan
description Lebrikizumab, a high-affinity monoclonal antibody targeting IL-13, previously demonstrated clinical efficacy in three randomized, double-blind, placebo-controlled Phase 3 trials that included adults and adolescents with moderate-to-severe atopic dermatitis (AD): ADvocate1, ADvocate2, and ADhere. This subset analysis evaluated 16-week physician- and patient-reported outcomes of lebrikizumab in the adolescent patients enrolled in these three trials. Eligible adolescents (≥12 to
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This subset analysis evaluated 16-week physician- and patient-reported outcomes of lebrikizumab in the adolescent patients enrolled in these three trials. Eligible adolescents (≥12 to <18 years weighing ≥40kg) were randomized 2:1 to subcutaneous lebrikizumab (500 mg loading doses at baseline and Week 2 followed by 250 mg every 2 weeks) or placebo as monotherapy in ADvocate1&2, and in combination with topical corticosteroids (TCS) in the ADhere study. Week 16 analyses included clinical efficacy outcomes (IGA (0,1) with ≥2-point improvement, EASI 75, EASI 90), patient-reported Pruritus NRS ≥4-point improvement and Sleep-Loss Scale ≥2-point improvement. Pooled ADvocate1&2 16-week results in lebrikizumab (  = 67) vs placebo (  = 35) were: IGA (0,1) 46.6% vs 14.3% (  < 0.01), EASI 75 62.0% vs 17.3% (  < 0.001), EASI 90 40.7% vs 11.5% (  < 0.01), Pruritus NRS 48.9% vs 13.1% (  < 0.01), and Sleep-Loss Scale 26.9% vs 6.9% (  = 0.137). Corresponding results for ADhere, (lebrikizumab + TCS,  = 32; placebo + TCS,  = 14), were consistent. Lebrikizumab treatment demonstrated efficacy in improving the signs and symptoms of AD in adolescent patients, consistent with the ADvocate and ADhere overall population results.]]></description><identifier>ISSN: 0954-6634</identifier><identifier>ISSN: 1471-1753</identifier><identifier>EISSN: 1471-1753</identifier><identifier>DOI: 10.1080/09546634.2024.2324833</identifier><identifier>PMID: 38735650</identifier><language>eng</language><publisher>England: Taylor &amp; Francis Group</publisher><subject>Adolescent ; Adolescents ; Antibodies, Monoclonal - administration &amp; dosage ; Antibodies, Monoclonal - therapeutic use ; atopic dermatitis ; Child ; Dermatitis, Atopic - drug therapy ; Double-Blind Method ; Drug Therapy, Combination ; efficacy ; Female ; Humans ; Injections, Subcutaneous ; lebrikizumab ; Male ; Patient Reported Outcome Measures ; quality of life ; Severity of Illness Index ; Treatment Outcome</subject><ispartof>The Journal of dermatological treatment, 2024-12, Vol.35 (1), p.2324833</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c370t-e9c77154c249292422430ba1ccd51f9323800034add945cddc29b273c8854333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38735650$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hebert, Adelaide A</creatorcontrib><creatorcontrib>Flohr, Carsten</creatorcontrib><creatorcontrib>Hong, H Chih-Ho</creatorcontrib><creatorcontrib>Irvine, Alan D</creatorcontrib><creatorcontrib>Pierce, Evangeline</creatorcontrib><creatorcontrib>Elmaraghy, Hany</creatorcontrib><creatorcontrib>Pillai, Sreekumar</creatorcontrib><creatorcontrib>Dawson, Zach</creatorcontrib><creatorcontrib>Chen, Sherry</creatorcontrib><creatorcontrib>Armengol, Clara</creatorcontrib><creatorcontrib>Siegfried, Elaine</creatorcontrib><creatorcontrib>Weidinger, Stephan</creatorcontrib><title>Efficacy of lebrikizumab in adolescent patients with moderate-to-severe atopic dermatitis: 16-week results from three randomized phase 3 clinical trials</title><title>The Journal of dermatological treatment</title><addtitle>J Dermatolog Treat</addtitle><description><![CDATA[Lebrikizumab, a high-affinity monoclonal antibody targeting IL-13, previously demonstrated clinical efficacy in three randomized, double-blind, placebo-controlled Phase 3 trials that included adults and adolescents with moderate-to-severe atopic dermatitis (AD): ADvocate1, ADvocate2, and ADhere. This subset analysis evaluated 16-week physician- and patient-reported outcomes of lebrikizumab in the adolescent patients enrolled in these three trials. Eligible adolescents (≥12 to <18 years weighing ≥40kg) were randomized 2:1 to subcutaneous lebrikizumab (500 mg loading doses at baseline and Week 2 followed by 250 mg every 2 weeks) or placebo as monotherapy in ADvocate1&2, and in combination with topical corticosteroids (TCS) in the ADhere study. Week 16 analyses included clinical efficacy outcomes (IGA (0,1) with ≥2-point improvement, EASI 75, EASI 90), patient-reported Pruritus NRS ≥4-point improvement and Sleep-Loss Scale ≥2-point improvement. Pooled ADvocate1&2 16-week results in lebrikizumab (  = 67) vs placebo (  = 35) were: IGA (0,1) 46.6% vs 14.3% (  < 0.01), EASI 75 62.0% vs 17.3% (  < 0.001), EASI 90 40.7% vs 11.5% (  < 0.01), Pruritus NRS 48.9% vs 13.1% (  < 0.01), and Sleep-Loss Scale 26.9% vs 6.9% (  = 0.137). Corresponding results for ADhere, (lebrikizumab + TCS,  = 32; placebo + TCS,  = 14), were consistent. Lebrikizumab treatment demonstrated efficacy in improving the signs and symptoms of AD in adolescent patients, consistent with the ADvocate and ADhere overall population results.]]></description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Antibodies, Monoclonal - administration &amp; dosage</subject><subject>Antibodies, Monoclonal - therapeutic use</subject><subject>atopic dermatitis</subject><subject>Child</subject><subject>Dermatitis, Atopic - drug therapy</subject><subject>Double-Blind Method</subject><subject>Drug Therapy, Combination</subject><subject>efficacy</subject><subject>Female</subject><subject>Humans</subject><subject>Injections, Subcutaneous</subject><subject>lebrikizumab</subject><subject>Male</subject><subject>Patient Reported Outcome Measures</subject><subject>quality of life</subject><subject>Severity of Illness Index</subject><subject>Treatment Outcome</subject><issn>0954-6634</issn><issn>1471-1753</issn><issn>1471-1753</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNo9Uctu1TAQjRCI3hY-AeQlmxTbYycxO1QVqFSJTfeWY0-4bpM42A5V-yX93Drc227mSKPzGM2pqk-MnjPa0a9USdE0IM455WUAFx3Am2rHRMtq1kp4W-02Tr2RTqrTlG4pZdDQ7n11Al0LspF0Vz1dDoO3xj6QMJAR--jv_OM6mZ74mRgXRkwW50wWk33BRO593pMpOIwmY51DnfAfRiQmh8VbUvZToWafvhHW1PeIdyRiWsciHWKYSN5HRBLN7MLkH9GRZW8SEiB29HO5ZCQ5ejOmD9W7oQB-POJZdfPj8ubiV339--fVxffr2kJLc43Kti2TwnKhuOKCcwG0N8xaJ9mggENHKQVhnFNCWucsVz1vwXadFABwVl0dbF0wt3qJfjLxQQfj9f9FiH-0idnbEXUvcWB930kzMIFs6JvOMekEVcq1Pcji9eXgtcTwd8WU9eTL98bRzBjWpIFKUTK52mLlgWpjSCni8BrNqN761S_96q1ffey36D4fI9Z-QveqeikUngHPsqIB</recordid><startdate>202412</startdate><enddate>202412</enddate><creator>Hebert, Adelaide A</creator><creator>Flohr, Carsten</creator><creator>Hong, H Chih-Ho</creator><creator>Irvine, Alan D</creator><creator>Pierce, Evangeline</creator><creator>Elmaraghy, Hany</creator><creator>Pillai, Sreekumar</creator><creator>Dawson, Zach</creator><creator>Chen, Sherry</creator><creator>Armengol, Clara</creator><creator>Siegfried, Elaine</creator><creator>Weidinger, Stephan</creator><general>Taylor &amp; 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This subset analysis evaluated 16-week physician- and patient-reported outcomes of lebrikizumab in the adolescent patients enrolled in these three trials. Eligible adolescents (≥12 to <18 years weighing ≥40kg) were randomized 2:1 to subcutaneous lebrikizumab (500 mg loading doses at baseline and Week 2 followed by 250 mg every 2 weeks) or placebo as monotherapy in ADvocate1&2, and in combination with topical corticosteroids (TCS) in the ADhere study. Week 16 analyses included clinical efficacy outcomes (IGA (0,1) with ≥2-point improvement, EASI 75, EASI 90), patient-reported Pruritus NRS ≥4-point improvement and Sleep-Loss Scale ≥2-point improvement. Pooled ADvocate1&2 16-week results in lebrikizumab (  = 67) vs placebo (  = 35) were: IGA (0,1) 46.6% vs 14.3% (  < 0.01), EASI 75 62.0% vs 17.3% (  < 0.001), EASI 90 40.7% vs 11.5% (  < 0.01), Pruritus NRS 48.9% vs 13.1% (  < 0.01), and Sleep-Loss Scale 26.9% vs 6.9% (  = 0.137). Corresponding results for ADhere, (lebrikizumab + TCS,  = 32; placebo + TCS,  = 14), were consistent. Lebrikizumab treatment demonstrated efficacy in improving the signs and symptoms of AD in adolescent patients, consistent with the ADvocate and ADhere overall population results.]]></abstract><cop>England</cop><pub>Taylor &amp; Francis Group</pub><pmid>38735650</pmid><doi>10.1080/09546634.2024.2324833</doi><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adolescents
Antibodies, Monoclonal - administration & dosage
Antibodies, Monoclonal - therapeutic use
atopic dermatitis
Child
Dermatitis, Atopic - drug therapy
Double-Blind Method
Drug Therapy, Combination
efficacy
Female
Humans
Injections, Subcutaneous
lebrikizumab
Male
Patient Reported Outcome Measures
quality of life
Severity of Illness Index
Treatment Outcome
title Efficacy of lebrikizumab in adolescent patients with moderate-to-severe atopic dermatitis: 16-week results from three randomized phase 3 clinical trials
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