Pharmacodynamic Blood Characteristics of ICP-332 in Patients With Moderate to Severe Atopic Dermatitis

Study Overview
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Brief Summary
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The investigator, the subject, and the sponsor's project team will remain blind throughout the study. Subjects will be randomly assigned to one of the three treatment groups at a ratio of 1:1:1 to be given the drug once a day for 4 weeks.

Official Title
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A Randomized, Double-blind, Placebo-controlled Phase II Trial Evaluating the Safety, Efficacy, Pharmacokinetics, and Pharmacodynamics of ICP-332 in Moderate-to-severe Atopic Dermatitis

Conditions
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Moderate to Severe Atopic Dermatitis

Intervention / Treatment
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* Drug: ICP-332
* Drug: ICP-332 Placebo


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male or female subjects aged ≥18 years and ≤75 years. A clinical diagnosis of atopic dermatitis or eczema was made at least 1 year prior to D1, and atopic dermatitis was identified at screening visit (according to Williams criteria). During screening and baseline, were defined as meeting the moderate and severe AD criteria as assessed by the researchers. Documented history of inadequate response to topical corticosteroids (TCS) or topical calcineurin inhibitors (TCI) , or other medically unrecommended topical therapy. Able and willing to use an additive free mild emollient twice a day for at least 7 days prior to baseline and for the duration of the study. The serum pregnancy test of all female subjects at screening visit was negative, and the urine pregnancy test of all fertile female subjects at baseline visit was negative before first dosing. Subjects must voluntarily sign and date informed consent prior to the commencement of any screening or study specific procedures. Subject is willing and able to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures. Fertile women (WOCBP) menstruation must occur during the screening period and consent to use a supplementary screen contraceptive method in combination with a highly effective contraceptive method during the study period and for 90 days after the last use of the study drug .Male subjects must be willing not to donate sperm during this period. Exclusion Criteria: Pregnant female subjects and nursing female subjects. Subjects who had an active skin disease or skin infection that required systemic treatment or would interfere with the proper assessment of AD. Current or previous infection history, including a history of herpes; Known history of invasive infection; Chronic recurrent infection and/or active invasive infection. Known immunodeficiency syndrome; Subjects with tuberculosis; Non skin related active infection. Active HBV, HCV or HIV, syphilis infection. Potential medical diseases or problems, including but not limited to the following: clinically relevant or significant ECG abnormalities; History of moderate to severe congestive heart failure, recent cerebrovascular accident, myocardial infarction or coronary stent implantation, or uncontrolled hypertension; Have received organ transplantation; A history of gastrointestinal perforation, diverticulitis, or a significant increased risk of gastrointestinal perforation according to the investigator's judgment; Diseases that may interfere with drug absorption; Subjects suffering from any malignant tumor before screening. Except for atopic dermatitis, he has any clinically significant disease history or other clinically significant systemic diseases. Received the specified treatment plan within the specified time frame. The time from the last use of powerful CYP3A inhibitor or inducer to the first trial medication is less than 5 clearance half-life, or it is planned to take powerful CYP3A inhibitor or inducer at the same time during this study. Those with a history of drug or alcohol abuse in the 6 months prior to baseline visit (as determined by the investigator). During the screening period before the first administration of the study drug (baseline visit), the abnormal laboratory values met at least one of the specified standards. The investigator considers for any reason that the subject is not suitable for participation in the study to receive ICP-332.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: High-dose<br>40 mg ICP-332 tablet 3 tablets, once a day | Drug: ICP-332<br>* Tablet, 40 mg<br>|
| Experimental: Low-dose<br>40 mg ICP-332 2 tablets + 1 placebo tablet once daily | Drug: ICP-332<br>* Tablet, 40 mg<br>Drug: ICP-332 Placebo<br>* Tablets, in appearance, size, color, dosage form, packaging, instructions, labels and other aspects of the corresponding specifications of ICP-332.<br>|
| Placebo Comparator: Blank control<br>Placebo 3 tablets once daily | Drug: ICP-332 Placebo<br>* Tablets, in appearance, size, color, dosage form, packaging, instructions, labels and other aspects of the corresponding specifications of ICP-332.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Adverse events (AEs) |  | Up to 24 weeks | 
| Systolic and Diastolic Blood Pressure |  | Up to 24 weeks | 
| Pulse Rate |  | Up to 24 weeks | 
| Electrocardiogram (ECG) QT Interval |  | Up to 24 weeks | 
| Number of participants with treatmentrelated adverse events as assessed by CTCAE v4.0 |  | Up to 24 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percentage change of EASI score from baseline in week 4 |  | 4 weeks |