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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05014438
Registration number
NCT05014438
Ethics application status
Date submitted
29/07/2021
Date registered
20/08/2021
Date last updated
18/10/2023
Titles & IDs
Public title
A Study of BMS-986166 or Branebrutinib for the Treatment of Participants With Atopic Dermatitis
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Scientific title
A Phase 2, Randomized, Double-blinded, Placebo-controlled, 5 Parallel-group Study of BMS-986166 or Branebrutinib for the Treatment of Patients With Moderate to Severe Atopic Dermatitis
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Secondary ID [1]
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2020-004767-77
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Secondary ID [2]
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IM018-005
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Dermatitis, Atopic
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Condition category
Condition code
Skin
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Dermatological conditions
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Skin
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Other skin conditions
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Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - BMS-986166
Treatment: Drugs - Branebrutinib
Other interventions - Placebo
Placebo comparator: Placebo -
Experimental: Treatment BMS-986166 Dose 1 -
Experimental: Treatment BMS-986166 Dose 2 -
Experimental: Treatment BMS-986166 Dose 3 -
Experimental: Treatment Branebrutinib -
Treatment: Drugs: BMS-986166
Specified dose on specified days
Treatment: Drugs: Branebrutinib
Specified dose on specified days
Other interventions: Placebo
Specified dose on specified days
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Mean Percentage Change From Baseline in EASI Score at Week 16
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Assessment method [1]
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The Eczema Area and Severity Index (EASI) is a validated, composite scoring system assessed by the investigator based on the extent of each of the 4 body regions (head and neck, upper limbs, lower limbs, and trunk) affected with AD and the intensity of each of 4 key signs of AD (erythema, induration/papulation, excoriation, and lichenification) and is based on a 4-point scale of 0 (absent), 1 (mild), 2 (moderate), and 3 (severe). For each of the 4 body regions, the mean intensity of inflamed lesions for each of the 4 signs is recorded. Xerosis, scaling, urticaria, or post-inflammatory pigmentation changes are not included. The total EASI score ranges from 0 to 72.
The lower the score the better.
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Timepoint [1]
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From baseline and 16 weeks
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Secondary outcome [1]
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Percentage of Participants Exhibiting a Validated Investigator Global Assessment for Atopic Dermatitis (vIGA-AD) Score of 0 (Cleared) or 1 (Almost Cleared) AND a = 2 Point Reduction From Baseline at Week 16
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Assessment method [1]
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The vIGA-AD is a static 5-point assessment intended to assess the global severities of key acute clinical signs of AD, including erythema, induration/papulation, and oozing/crusting (lichenification excluded).
The rating of cleared (0), almost cleared (1), mild (2), moderate (3), and severe (4) will be assessed.
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Timepoint [1]
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From baseline and 16 weeks
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Secondary outcome [2]
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Percentage of Participants Exhibiting a = 50% (EASI-50) Reduction From Baseline in EASI Score at Week 16
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Assessment method [2]
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The Eczema Area and Severity Index (EASI) is a validated, composite scoring system assessed by the investigator based on the extent of each of the 4 body regions (head and neck, upper limbs, lower limbs, and trunk) affected with AD and the intensity of each of 4 key signs of AD (erythema, induration/papulation, excoriation, and lichenification) and is based on a 4-point scale of 0 (absent), 1 (mild), 2 (moderate), and 3 (severe). For each of the 4 body regions, the mean intensity of inflamed lesions for each of the 4 signs is recorded. Xerosis, scaling, urticaria, or post-inflammatory pigmentation changes are not included. The total EASI score ranges from 0 to 72.
The lower the score the better.
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Timepoint [2]
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From baseline and 16 weeks
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Secondary outcome [3]
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Percentage of Participants Exhibiting a = 4-point Improvement From Baseline in Pruritus NRS at Week 16
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Assessment method [3]
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Participants will complete a daily diary recording the intensity of their pruritus they experienced during the preceding 24 hours. The intensity of pruritus will be assessed using a validated 11-point NRS, ranging from 0 ("no itching") to 10 ("the worst itching imaginable").
The lower the score the better.
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Timepoint [3]
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From baseline and 16 weeks
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Secondary outcome [4]
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Mean Percentage Change From Baseline in Pruritus NRS Score at Week 16
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Assessment method [4]
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Participants will complete a daily diary recording the intensity of their pruritus and the average quality of sleep they experienced during the preceding 24 hours. The intensity of pruritus will be assessed using a validated 11-point NRS, ranging from 0 ("no itching") to 10 ("the worst itching imaginable"). The quality of sleep will be assessed using a validated 11-point NRS ranging from 0 ("the best possible sleep") to 10 ("the worst possible sleep).
The lower the score the better.
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Timepoint [4]
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From baseline and 16 weeks
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Secondary outcome [5]
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Mean Change From Baseline in Percentage of Affected BSA at Week 16
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Assessment method [5]
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A widely used method of measuring Body Surface Area (BSA) involvement by AD, is the rule of nines in which for each section of the body (the possible highest score for each region is: head and neck \[9%\], anterior trunk \[18%\], back \[18%\], upper limbs \[18%\], lower limbs \[36%\], genitals \[1%\]) and will be reported as a percentage of all major body sections combined.
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Timepoint [5]
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From baseline and 16 weeks
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Secondary outcome [6]
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Number of Participants With Mild Moderate or Severe AEs
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Assessment method [6]
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An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in a clinical investigation participant administered study treatment that does not necessarily have a causal relationship with this treatment.
Mild: An event that is easily tolerated by the participant, causing minimal discomfort and not interfering with everyday activities.
Moderate: An event that causes sufficient discomfort and interferes with normal everyday activities.
Severe: An event that prevents normal everyday activities. An AE that is assessed as severe should not be confused with an SAE. Severe is a category utilized for rating the intensity of an event, and both AEs and SAEs can be assessed as severe.
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Timepoint [6]
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From initial treatment to 30 days post discontinuation, approximately 29 weeks
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Secondary outcome [7]
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Number of Participants With Mild Moderate or Severe SAEs
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Assessment method [7]
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A Serious Adverse Event (SAE) is defined as any untoward medical occurrence that, at any dose:
* Results in death
* is life threatening
* Requires inpatient hospitalization or causes prolongation of existing hospitalization
* Results in persistent or significant disability
* Is a congenital anomaly/birth defect.
* Is an important medical event
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Timepoint [7]
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From initial treatment to 30 days post discontinuation, approximately 29 weeks
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Secondary outcome [8]
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Number of Participants With Clinically Relevant ECG Abnormalities
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Assessment method [8]
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12 Lead Electrocardiogram (ECG). The participant will remain supine for 5 to 10 minutes prior to the ECG and must have lab work done after the tracing so that the ECG results remain as accurate as possible.
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Timepoint [8]
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Week 24 after initial treatment
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Secondary outcome [9]
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Number of Participants With Clinically Relevant OCT Abnormalities
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Assessment method [9]
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Optical coherence tomography (OCT) is a non-invasive imaging test. It uses light waves to take cross-section pictures of your retina. Diagnosis is made by an ophthalmologist.
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Timepoint [9]
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Week 24 after initial treatment
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Secondary outcome [10]
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Number of Participants With Clinically Relevant PFT Abnormalities
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Assessment method [10]
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Pulmonary function tests (PFT) include: forced expiratory volume (FEV1), percent predicted FEV1, forced vital capacity (FVC), percent predicted FVC, and Diffusion capacity of carbon monoxide (DLCO).
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Timepoint [10]
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Week 24 after initial treatment
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Secondary outcome [11]
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Number of Participants With Clinically Meaningful Changes in Vital Signs
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Assessment method [11]
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The following vital signs will be assessed: systolic blood pressure, diastolic blood pressure, heart rate, respiratory rate and body temperature.
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Timepoint [11]
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Week 24 after initial treatment
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Secondary outcome [12]
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Number of Participants With Clinically Relevant Changes in LFTs
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Assessment method [12]
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Liver Function Tests (LFTs) will include the following measurements:
* ALT OR AST \> 3 X ULN
* ALT OR AST \> 5 X ULN
* ALT OR AST \> 8 X ULN
* TOTAL BILIRUBIN \> 2 X ULN
* ALT OR AST \> 3 X ULN AND (TOTAL BILIRUBIN \> 2 X ULN OR INR \>1.5)
AST = aspartate aminotransferase ALT = alanine aminotransferase ULN = Upper limit number INR = International Normalized Ratio
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Timepoint [12]
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Week 24 after initial treatment
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Eligibility
Key inclusion criteria
* Chronic atopic dermatitis (AD) diagnosed according to the Eichenfield modification of Hanifin's and Rajka's (E-HR) criteria at Screening
* Disease duration of at least 24 months since diagnosis by any criteria
* Documented history of inadequate control of AD by a stable regimen (= 4 weeks) of topical corticosteroids, calcineurin inhibitors or biologics, within 6 months of randomization, or inappropriateness of therapy due to side effects or safety risks leading to prior discontinuation
* Application of fixed doses of an additive-free, basic bland emollient twice-daily for = 7 days before baseline visit and for the duration of the study
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Minimum age
18
Years
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Maximum age
65
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Any major illness/condition or evidence of an unstable clinical condition or local active infection/infectious illness that, in the investigator's judgment, will substantially increase the risk to the participant if he or she participates in the study or interfere with the interpretation of study results
* Clinically relevant cardiovascular conditions or pulmonary conditions
* High likelihood - based on participant history, and investigator judgement - of requiring rescue therapy in < 4 weeks prior to randomization
* Evidence of acute flare between the Screening and Baseline/ Randomization
* Skin lesion(s) and/or pruritus due to conditions other than AD that would interfere with the study specified assessments
Other protocol-defined inclusion/exclusion criteria apply
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
17/08/2021
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
22/08/2022
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Sample size
Target
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Accrual to date
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Final
17
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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Premier Dermatology - Kogarah
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Recruitment hospital [2]
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Holdsworth House Medical Practice - Sydney
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Recruitment hospital [3]
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Westmead Hospital-Dermatology - Westmead
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Recruitment hospital [4]
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Sinclair Dermatology - East Melbourne
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Recruitment postcode(s) [1]
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2217 - Kogarah
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Recruitment postcode(s) [2]
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2010 - Sydney
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Recruitment postcode(s) [3]
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2145 - Westmead
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Recruitment postcode(s) [4]
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3002 - East Melbourne
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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Country [2]
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United States of America
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State/province [2]
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Florida
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Country [3]
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United States of America
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State/province [3]
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Illinois
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Country [4]
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United States of America
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State/province [4]
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Indiana
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Country [5]
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United States of America
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State/province [5]
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Kentucky
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Country [6]
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United States of America
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State/province [6]
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Maryland
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Country [7]
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United States of America
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State/province [7]
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Missouri
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Country [8]
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United States of America
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State/province [8]
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New York
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Country [9]
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United States of America
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State/province [9]
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Pennsylvania
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Country [10]
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United States of America
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State/province [10]
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Texas
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Country [11]
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United States of America
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State/province [11]
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West Virginia
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Country [12]
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Austria
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State/province [12]
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Linz
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Country [13]
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Canada
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State/province [13]
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Ontario
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Country [14]
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Canada
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State/province [14]
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Quebec
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Country [15]
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Germany
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State/province [15]
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Berlin
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Country [16]
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Germany
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State/province [16]
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Bochum
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Country [17]
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Germany
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State/province [17]
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Bonn
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Country [18]
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Germany
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State/province [18]
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Gera
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Country [19]
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Germany
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State/province [19]
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Hannover
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Country [20]
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Germany
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State/province [20]
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Kiel
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Country [21]
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Germany
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State/province [21]
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Munich
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Country [22]
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Germany
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State/province [22]
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Osnabrück
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Country [23]
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Germany
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State/province [23]
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Selters
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Country [24]
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Poland
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State/province [24]
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Mazowieckie
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Country [25]
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Poland
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State/province [25]
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Bydgoszcz
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Country [26]
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Poland
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State/province [26]
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Olsztyn
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Country [27]
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Spain
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State/province [27]
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Andalucía
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Country [28]
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Spain
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State/province [28]
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Alicante
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Country [29]
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Spain
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State/province [29]
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Las
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Country [30]
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Spain
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State/province [30]
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Madrid
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Bristol-Myers Squibb
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to evaluate the efficacy, safety, and tolerability of BMS-986166 and of branebrutinib, each versus placebo, for the treatment of participants with moderate to severe atopic dermatitis.
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Trial website
https://clinicaltrials.gov/study/NCT05014438
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Bristol-Myers Squibb
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Address
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Bristol-Myers Squibb
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/38/NCT05014438/Prot_SAP_000.pdf
Statistical analysis plan
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/38/NCT05014438/Prot_SAP_000.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05014438
Download to PDF