Amlitelimab

Amlitelimab is being studied in several clinical trials to see how well it works and how safe it is. These trials include people with atopic dermatitis, asthma, hidradenitis suppurativa, celiac disease, alopecia areata, and interstitial lung disease linked to systemic sclerosis. Most studies compare Amlitelimab with placebo and measure symptom improvement and safety.

Table of Contents

Clinical trials overview

Amlitelimab is being studied in interventional clinical trials, which means researchers give a study treatment and then measure the results.[1] The source data shows trials in atopic dermatitis, asthma, hidradenitis suppurativa, celiac disease, alopecia areata, and interstitial lung disease secondary to systemic sclerosis.[1]

Most of the studies compare Amlitelimab with placebo, which is a look-alike treatment with no active study drug.[1] Some studies also compare different dose regimens or look at long-term treatment after earlier trials.[1]

Atopic dermatitis studies

The largest group of trials is in atopic dermatitis, a long-term skin disease that causes itchy and inflamed skin.[1] Several Phase 3 trials studied people aged 12 years and older with moderate-to-severe disease, either on background topical corticosteroids or as monotherapy, which means treatment without another main study drug.[1]

In these studies, the main goal was to show whether Amlitelimab could improve skin disease better than placebo.[1] One Phase 3 study focused on participants who had not responded well enough to prior biologic therapy or an oral JAK inhibitor, which is a type of treatment taken by mouth that affects immune signaling.[1]

There are also longer-term studies in atopic dermatitis. One Phase 2 long-term study looked at safety in participants aged 12 years and older, and a Phase 4 study looked at long-term safety and efficacy in people from previous atopic dermatitis trials.[1] Another Phase 3 study examined whether people who already responded to treatment could keep that response when treatment continued or was withdrawn.[1]

Other conditions studied

A Phase 2 proof-of-concept study tested Amlitelimab in adults with hidradenitis suppurativa, a painful skin condition with swollen lumps and tunnels under the skin.[1] The study measured clinical response at Week 16 using HiSCR50, a response measure that looks for at least a 50% improvement.[1]

In asthma, one Phase 2 dose-ranging study looked at adults with moderate-to-severe, uncontrolled asthma and measured the annualized rate of severe exacerbation events over 48 weeks.[1] Another Phase 2 long-term asthma study followed adults who had already completed a previous Amlitelimab asthma study and looked mainly at safety and tolerability, meaning how well the treatment was handled over time.[1]

A Phase 2a/b study in adults with non-responsive celiac disease looked at whether Amlitelimab could improve changes in the intestinal lining, both in people following a gluten-free diet and in people with background gluten exposure.[1] A Phase 2 study in adults with severe alopecia areata, a condition that causes hair loss, measured change in SALT score at Week 36 to see whether lost hair could regrow.[1]

Another Phase 2 trial studied people with interstitial lung disease secondary to systemic sclerosis, also called SSc-ILD.[1] That study measured change in forced vital capacity, which is the amount of air a person can force out of the lungs after a deep breath.[1]

Who can join these trials

Eligibility depends on the specific trial.[1] Some studies include adults only, while several atopic dermatitis studies include participants aged 12 years and older.[1]

The trials also focus on people with specific disease features, such as moderate-to-severe atopic dermatitis, uncontrolled asthma, severe alopecia areata with at least 50% scalp hair loss, or non-responsive celiac disease.[1] Some studies also require previous treatment history, such as an inadequate response to earlier biologic therapy or an oral JAK inhibitor in atopic dermatitis.[1]

Main outcomes measured

The main outcome, or primary endpoint, is the key result researchers use to judge the study.[1] In the atopic dermatitis trials, the main endpoints included the vIGA-AD score, the EASI score, and whether participants reached clear or almost clear skin with a meaningful drop from baseline, which means from the starting point before treatment.[1]

In hidradenitis suppurativa, the main endpoint was HiSCR50 at Week 16.[1] In asthma, the main endpoint was the annualized rate of severe exacerbation events over 48 weeks, and in the long-term asthma study it was the percentage of participants with treatment-emergent adverse events.[1]

In celiac disease, researchers measured change in villus height to crypt depth ratio, which is a way to assess the shape and health of the intestinal lining.[1] In alopecia areata, the main endpoint was change in SALT score at Week 36.[1] In SSc-ILD, the main endpoint was change in forced vital capacity at Week 52.[1]

Trial phases and study status

The source data includes Phase 2, Phase 3, and Phase 4 studies.[1] Phase 2 studies are usually earlier studies, Phase 3 studies are larger confirmatory studies, and Phase 4 studies look at longer-term follow-up after earlier research.[1]

Some trials are marked Completed, while others are Authorised.[1] In the source data, completed trials include several atopic dermatitis studies, the asthma dose-ranging study, the hidradenitis suppurativa study, and the alopecia areata study.[1] Authorised studies include additional atopic dermatitis, asthma, celiac disease, and interstitial lung disease trials.[1]

Trial ID Phase Condition studied Status Enrollment
NCT06224348 Phase 3 Atopic dermatitis Completed 914
NCT06181435 Phase 3 Atopic dermatitis Completed 820
2022-501196-41-00 Phase 3 Atopic dermatitis Completed 739
NCT06241118 Phase 3 Atopic dermatitis Authorised 522
2023-508096-36-00 Phase 3 Atopic dermatitis Authorised 1500
2023-506548-18-00 Phase 4 Atopic dermatitis Authorised 1663
NCT05769777 Phase 2 Atopic dermatitis Authorised 1269
NCT05421598 Phase 2 Asthma Completed 408
NCT06033833 Phase 2 Asthma Authorised 335
2023-505803-22-00 Phase 2 Hidradenitis suppurativa Completed 84
NCT06557772 Phase 2 Celiac disease Authorised 816
NCT06444451 Phase 2 Alopecia areata Completed 221
NCT06195072 Phase 2 Interstitial lung disease secondary to systemic sclerosis Authorised 455

Ongoing Clinical Trials on Amlitelimab

  • Study of Amlitelimab and BI 1015550 for Patients with Interstitial Lung Disease Due to Scleroderma

    Recruiting

    Investigated diseases:
    Investigated drugs:
    Austria Belgium Denmark France Germany Italy +5
  • Study on Amlitelimab for Patients Aged 12 and Older with Moderate to Severe Atopic Dermatitis Using Topical Corticosteroids and Inadequate Response to Previous Treatments

    Recruiting

    1 1 1
    Investigated diseases:
    France Germany Greece Italy The Netherlands Poland +1
  • Study on Long-Term Safety and Efficacy of Amlitelimab for Patients with Moderate to Severe Atopic Dermatitis from Previous Trials

    Recruiting

    1 1 1 1
    Investigated diseases:
    Investigated drugs:
    Bulgaria Czechia Denmark France Germany Greece +7
  • Study on Amlitelimab for Patients Aged 12 and Older with Moderate-to-Severe Atopic Dermatitis

    Not recruiting

    1 1 1
    Investigated diseases:
    Bulgaria Czechia Denmark Italy Portugal Spain +1
  • Study of amlitelimab injection compared to placebo for adults with severe alopecia areata (hair loss)

    Not recruiting

    Investigated diseases:
    Investigated drugs:
    Bulgaria Czechia France Germany Italy The Netherlands +2
  • Study on the Effects of Amlitelimab for Adults with Non-Responsive Celiac Disease

    Not recruiting

    Investigated diseases:
    Investigated drugs:
    Belgium Czechia Finland France Germany Greece +6
  • Study on Amlitelimab for Adults with Moderate to Severe Hidradenitis Suppurativa

    Not recruiting

    Investigated diseases:
    Investigated drugs:
    France Germany Hungary Italy Poland Portugal +1
  • Study of Different Doses of Amlitelimab Given by Injection Under the Skin in Adults with Moderate to Severe Asthma

    Not recruiting

    1 1
    Investigated diseases:
    Investigated drugs:
    Hungary Italy Poland
  • Study on the Effectiveness and Safety of Amlitelimab for Patients Aged 12 and Older with Moderate-to-Severe Atopic Dermatitis

    Not recruiting

    1 1 1
    Investigated diseases:
    France Germany Greece Poland
  • Study on the Effectiveness and Safety of Amlitelimab for Patients Aged 12 and Older with Moderate-to-Severe Atopic Dermatitis Using Topical Corticosteroids

    Not recruiting

    1 1 1
    Investigated diseases:
    Bulgaria Czechia France Germany Italy Spain

Glossary

  • Atopic dermatitis (AD): A long-term skin condition that causes itchy, inflamed, and irritated skin. The trials study people with moderate-to-severe disease.
  • Moderate-to-severe: This means the disease is not mild. Symptoms are strong enough to affect daily life and often need more than basic treatment.
  • Placebo: A look-alike treatment with no active study drug. It is used to compare results fairly.
  • Phase 2: An earlier trial phase that looks at whether a treatment may work and checks safety in a smaller group.
  • Phase 3: A later trial phase with more participants. It compares treatments and looks more closely at benefit and safety.
  • Phase 4: A trial phase done after earlier studies. It often looks at longer-term safety and how the treatment performs over time.
  • Enrollment: The number of people planned or included in a study.
  • Primary outcome: The main result researchers want to measure in a trial.
  • Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD): A score doctors use to rate how clear or severe the skin disease is. Lower scores mean better skin.
  • Eczema Area and Severity Index (EASI): A score that measures how much skin is affected and how severe eczema is.
  • HiSCR50: A study measure used in hidradenitis suppurativa. It means a 50% improvement in disease signs.
  • SALT score: A score used in alopecia areata to measure scalp hair loss and regrowth.

References