A Study of How Safe Abrocitinib (CIBINQO) is in Pregnant Women and Their Offspring

Study Overview
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Brief Summary
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The purpose of this observational study is to learn about the safety of abrocitinib (CIBINQO) in pregnant women and the offspring. The study is seeking participants who: Are currently or recently pregnant Receive at least one dose of CIBINQO at any time during pregnancy or prior to pregnancy OR have a diagnosis of moderate-to-severe atopic dermatitis All participants in this study will receive treatment according to routine care, as this is an observational study. The exposed group will consist of pregnant women exposed to abrocitinib during pregnancy. The unexposed group will consistent of pregnant women with moderate-to-severe atopic dermatitis who are not exposed to abrocitinib during pregnancy. The study will compare the experiences of pregnant women receiving abrocitinib to pregnant women who do not. This will help us determine if abrocitinib is safe during pregnancy. Participants will take part in this study until their infant is 12 months of age. During this time, the participant's care will be managed no differently than if she was not taking part in this study. Data will be collected through a virtual research coordinating center at enrollment, the end of the second trimester, and pregnancy outcome (live birth or fetal loss). For live-born infants, data on the infants will be collected at 4 and 12 months of age. No additional visits beyond routine care will be required.

Official Title
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CIBINQO™ Pregnancy Registry: An Observational Study of the Safety of Abrocitinib Exposure in Pregnant Women and Their Offspring

Conditions
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Atopic Dermatitis

Intervention / Treatment
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* Drug: Abrocitinib


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women of any age who are currently or recently pregnant (recently pregnant defined as enrollment within 1 year of pregnancy outcome) Consent to participate in this study and evidence of a personally signed and dated informed consent document indicating that the patient (or a legally acceptable representative) has been informed of all pertinent aspects of the study Authorization for her healthcare provider(s) to provide data to the registry Must receive at least one dose of CIBINQO at any time during pregnancy or prior to pregnancy (within 1 day prior to the date of conception) OR have a diagnosis of moderate-to-severe atopic dermatitis at any time prior to pregnancy outcome. Exclusion Criteria: Participants will be excluded from the registry if they do not meet the inclusion criteria listed above.

Ages Eligible for Study
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Minimum Age: 0 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Exposed to CIBINQO during pregnancy<br>Received at least one dose of CIBINQO at any time during pregnancy or prior to pregnancy (within 1 day prior to the date of conception). | Drug: Abrocitinib<br>* taken by mouth<br>|
| Unexposed to CIBINQO during pregnancy<br>Diagnosed with moderate-to-severe atopic dermatitis, but not exposed to CIBINQO during pregnancy. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percent of live birth children with major congenital malformations | An abnormality of body structure or function that is present at birth, is of prenatal origin (i.e., birth defect), has significant medical, social, or cosmetic consequences for the affected individual, and typically requires medical intervention. | Enrollment until 12 months after delivery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percent of participants with children with minor congenital malformations | An anomaly or abnormality of body structure that is present at birth, is of prenatal origin (i.e., birth defect), poses no significant health problem in the neonatal period, and tends to have limited social or cosmetic consequences for the affected individual. | Enrollment until 12 months after delivery | 
| Percent of participants with spontaneous abortion | An involuntary fetal loss or the expulsion of the products of conception occurring at <20 gestational weeks. | Enrollment until end of pregnancy (up to 20 gestational weeks) | 
| Percent of participants with stillbirths | An involuntary fetal loss occurring at ≥20 gestational weeks or, if gestational age is unknown, a fetus weighing ≥350 g. | Enrollment until end of pregnancy (up to 9 months) | 
| Percentage of participants with an elective termination | A voluntary fetal loss or interruption of pregnancy that occurs for any reason, including but not limited to for the preservation of maternal health or due to fetal abnormalities | Enrollment until end of pregnancy (up to 9 months) | 
| Percent of participants with preterm birth | A live birth occurring at <37 gestational weeks. | Enrollment until 12 months after delivery | 
| Percent of participants with children born small for gestational age | Birthweight <10th percentile for sex and gestational age using standard growth charts for full and preterm live born infants. | Enrollment until 12 months after delivery | 
| Percentage of participants with children with postnatal growth deficiency | Weight, length, or head circumference in <10th percentile for sex and chronological age using standard growth charts | Enrollment until 12 months after delivery | 
| Percent of participants with infant developmental delay | Failure to achieve the developmental milestones for chronological age, as defined by the CDC. | Enrollment until 12 months after delivery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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pregnancy, dermatitis, atopic