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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05131477
Registration number
NCT05131477
Ethics application status
Date submitted
11/11/2021
Date registered
23/11/2021
Titles & IDs
Public title
Study Testing Response Effect of KY1005 Against Moderate-to-Severe Atopic Dermatitis, The STREAM-AD Study
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Scientific title
A Phase IIb, Randomized, Double-blind, Placebo-controlled, Parallel Group, Multicenter Dose Ranging Study of a Subcutaneous Anti-OX40L Monoclonal Antibody (KY1005) in Moderate-to-Severe Atopic Dermatitis
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Secondary ID [1]
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2021-000725-28
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Secondary ID [2]
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KY1005-CT05/DRI17366
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Universal Trial Number (UTN)
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Trial acronym
STREAM-AD
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Eczema
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Atopic Dermatitis
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Osteoarthritis
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Post-traumatic Arthritis
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0
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Rheumatoid Arthritis
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COVID-19
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Condition category
Condition code
Skin
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0
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Dermatological conditions
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Skin
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0
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0
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Other skin conditions
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Inflammatory and Immune System
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0
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0
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Other inflammatory or immune system disorders
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Neurological
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0
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0
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Epilepsy
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Neurological
0
0
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0
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Other neurological disorders
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Musculoskeletal
0
0
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0
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Osteoarthritis
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Inflammatory and Immune System
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0
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0
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Rheumatoid arthritis
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Eye
0
0
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0
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Diseases / disorders of the eye
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Cancer
0
0
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0
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Womb (Uterine or endometrial cancer)
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Infection
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0
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Other infectious diseases
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Respiratory
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - KY1005
Treatment: Drugs - Placebo
Treatment: Surgery - Total Knee Arthroplasty
Treatment: Drugs - AZD8205
Treatment: Drugs - AZD8205 and AZD2936 (Rilvegostomig)
Treatment: Other - Spikogen/Covax-19
Experimental: KY1005 Dose Level 1 - Every 4 weeks
Experimental: KY1005 Dose Level 2 - Every 4 weeks
Experimental: KY1005 Dose Level 3 - Every 4 weeks
Experimental: KY1005 Dose Level 4 - Every 4 weeks
Placebo comparator: Placebo - Every 4 weeks
LEGION Porous CR with Hydroxyapatite - Patients who have already received or a due to receive a Porous Tibia + LEGION Porous CR with HA femoral component (min 117 subjects)
LEGION Porous CR without Hydroxyapatite - Patients who have already received or a due to receive a Porous Tibia + LEGION Porous CR without HA femoral component (min 117 subjects)
Experimental: Sub-Study 1 AZD8205 Monotherapy - Sub-Study 1 has two parts:
Part A : The aim is to determine the safety, tolerability, Recommended Phase 2 Dose(RP2D), and/or the Maximum Tolerated Dose (MTD) of AZD8205.
Part B: The aim of dose expansion is to evaluate anti-tumor activity of AZD8205 as monotherapy in select solid tumors.
Experimental: Sub Study 2: AZD8205 in combination with rilvegostomig - Sub-Study 2 has two parts:
Part A : Dose escalation to determine the safety, tolerability of AZD8205 + rilvegostomig Part B: Dose expansion to evaluate anti-tumor activity of AZD8205 + rilvegostomig in select solid tumors.
Active comparator: 3 week arm - Subjects will receive two doses of vaccine 3 weeks apart
Active comparator: 4 week arm - Subjects will receive two doses of vaccine 4 weeks apart
Active comparator: 5 week arm - Subjects will receive two doses of vaccine 5 weeks apart
Active comparator: 6 week arm - Subjects will receive two doses of vaccine 6 weeks apart
Treatment: Drugs: KY1005
Pharmaceutical form: Injection solution Route of administration: Subcutaneous
Treatment: Drugs: Placebo
Pharmaceutical form: Injection solution Route of administration: Subcutaneous
Treatment: Surgery: Total Knee Arthroplasty
A surgical procedure to replace both the tibial and femoral articular surfaces with titanium prostheses.
Treatment: Drugs: AZD8205
AZD8205 is an antibody drug conjugate that has the potential to treat a wide variety of solid tumors including but not limited to breast cancer, Biliary Tract Cancer, ovarian, and endometrial cancers
Treatment: Drugs: AZD8205 and AZD2936 (Rilvegostomig)
AZD8205 is an antibody drug conjugate that has the potential to treat a wide variety of solid tumors including but not limited to breast cancer, Biliary Tract Cancer, ovarian, and endometrial cancers.
Rilvegostomig is a bispecific antibody that specifically binds to human TIGIT and PD-1 and is a potential anticancer therapy in patients with advanced or metastatic solid tumors.
Treatment: Other: Spikogen/Covax-19
Spikogen/Covax-19 is a recombinant spike protein vaccine formulated with Advax-CpG55.2 adjuvant
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Treatment: Surgery
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Intervention code [3]
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Treatment: Other
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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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Percentage change in EASI (Eczema Area and Severity Index) from Baseline
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Assessment method [1]
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The EASI is a composite index with scores ranging from 0 to 72. Higher scores indicate worse condition.
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Timepoint [1]
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Baseline to Day 113
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Primary outcome [2]
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Implant Survivorship (femoral and/or tibial component) 2 Years Post-Surgery
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Assessment method [2]
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Survivorship of the femoral and/or tibial component of the implant is defined as the cumulative proportion of femoral and/or tibial components without a revision.
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Timepoint [2]
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2 years post-surgery
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Primary outcome [3]
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The number of patients with adverse events
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Assessment method [3]
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Number of patients with adverse events by system organ class and preferred term
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Timepoint [3]
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From time of Informed consent to 30 days post last dose (approximately 1 year).
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Primary outcome [4]
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The number of patients with serious adverse events
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Assessment method [4]
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Number of patients with serious adverse events by system organ class and preferred term
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Timepoint [4]
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From time of Informed consent to 30 days post last dose (approximately 1 year)
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Primary outcome [5]
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The number of patients with dose-limiting toxicity (DLT), as defined in the protocol.
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Assessment method [5]
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A DLT is defined as any toxicity that occurs from the first dose of study treatment up to and including the planned end of Cycle 1 (the DLT assessment period) that is assessed as unrelated to the disease or disease-related processes under investigation and which includes pre-defined haematological and non-haematological toxicities.
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Timepoint [5]
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From first dose of study treatment until the end of Cycle 1 (approximately 21 days).
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Primary outcome [6]
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The number of patients with changes from baseline laboratory findings, ECGs and vital signs
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Assessment method [6]
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Description of laboratory findings and vital signs variables over time including change from baseline.
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Timepoint [6]
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From time of informed consent to 30 days post last dose (approximately 1 year)
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Primary outcome [7]
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Spike antibody immunogenicity
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Assessment method [7]
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Serum geometric mean titers of anti-spike protein antibody levels
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Timepoint [7]
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3 weeks post second vaccine dose
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Primary outcome [8]
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Spike antibody seroconversion
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Assessment method [8]
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Proportion of each group seroconverting to spike protein antibody positiivity
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Timepoint [8]
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3 weeks post second vaccine dose
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Primary outcome [9]
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SARS-CoV-2 protection
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Assessment method [9]
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Confirmed Covid-19 infections
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Timepoint [9]
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Accrual of events starting 2 weeks post second vaccine dose
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Secondary outcome [1]
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Incidence of treatment-emergent adverse event
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Assessment method [1]
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Timepoint [1]
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Baseline through Day 477
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Secondary outcome [2]
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Serum KY1005 concentration assessed throughout the study
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Assessment method [2]
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Timepoint [2]
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Baseline through Day 477
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Secondary outcome [3]
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Percentage change in EASI (Eczema Area and Severity Index) from baseline to Day 169
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Assessment method [3]
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The EASI is a composite index with scores ranging from 0 to 72. Higher scores indicate worse condition.
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Timepoint [3]
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Baseline to Day 169
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Secondary outcome [4]
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Percentage of patients with at least a 75% reduction from Baseline in EASI (EASI 75)
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Assessment method [4]
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The EASI is a composite index with scores ranging from 0 to 72. Higher scores indicate worse condition.
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Timepoint [4]
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At Days 113 and 169
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Secondary outcome [5]
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Percentage of patients with a response of IGA (Investigator Global Assessment) 0 or 1 and a reduction from baseline = 2 points
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Assessment method [5]
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The IGA is a five-point scale that provides a global clinical assessment of AD severity ranging from 0 to 4, where 0 indicates clear, 2 is mild, 3 is moderate, and 4 indicates severe AD.
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Timepoint [5]
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At Days 113 and 169
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Secondary outcome [6]
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Proportion of patients with improvement (reduction) of weekly average of pruritus NRS (Numerical Rating Scale) = 4 with a baseline pruritus of = 4 from baseline
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Assessment method [6]
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The pruritus NRS is a simple assessment tool to report the intensity of their pruritus (itch) ranges from 0 to 10 with 0 being 'no itch' and 10 being the 'worst itch imaginable'.
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Timepoint [6]
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Days 113 and 169
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Secondary outcome [7]
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Absolute change from Baseline in EASI (Eczema Area and Severity Index)
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Assessment method [7]
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The EASI is a composite index with scores ranging from 0 to 72. Higher scores indicate worse condition.
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Timepoint [7]
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At Days 15, 29, 57, 85, 113, 141 and 169
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Secondary outcome [8]
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Percentage change from Baseline in EASI (Eczema Area and Severity Index)
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Assessment method [8]
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The EASI is a composite index with scores ranging from 0 to 72. Higher scores indicate worse condition.
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Timepoint [8]
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At Days 15, 29, 57, 85 and 141
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Secondary outcome [9]
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Percentage of patients with at least a 50% reduction from Baseline in EASI (EASI 50)
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Assessment method [9]
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The EASI is a composite index with scores ranging from 0 to 72. Higher scores indicate worse condition.
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Timepoint [9]
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At Days 15, 29, 57, 85, 113, 141 and 169
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Secondary outcome [10]
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Percentage of patients with at least a 75% reduction from Baseline in EASI (EASI 75)
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Assessment method [10]
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The EASI is a composite index with scores ranging from 0 to 72. Higher scores indicate worse condition.
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Timepoint [10]
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At Days 15, 29, 57, 85, and 141
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Secondary outcome [11]
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Percentage of patients with at least a 90% reduction from Baseline in EASI (EASI 90)
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Assessment method [11]
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The EASI is a composite index with scores ranging from 0 to 72. Higher scores indicate worse condition.
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Timepoint [11]
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At Days 15, 29, 57, 85, 113, 141 and 169
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Secondary outcome [12]
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Percentage of patients with a 100% reduction from Baseline in EASI (EASI 100)
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Assessment method [12]
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The EASI is a composite index with scores ranging from 0 to 72. Higher scores indicate worse condition.
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Timepoint [12]
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At Days 15, 29, 57, 85, 113, 141 and 169
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Secondary outcome [13]
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Change in IGA (Investigator Global Assessment) from Baseline
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Assessment method [13]
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The IGA is a five-point scale that provides a global clinical assessment of AD severity ranging from 0 to 4, where 0 indicates clear, 2 is mild, 3 is moderate, and 4 indicates severe AD
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Timepoint [13]
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Baseline to day 113 and over time up to Day 365
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Secondary outcome [14]
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Percentage of patients with a score of IGA (Investigator Global Assessment) 0 or 1 and a reduction from Baseline of = 2 points
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Assessment method [14]
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The IGA is a five-point scale that provides a global clinical assessment of AD (Atopic Dermatitis) severity ranging from 0 to 4, where 0 indicates clear, 2 is mild, 3 is moderate, and 4 indicates severe AD
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Timepoint [14]
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At Days 15, 29, 57, 85, and 141
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Secondary outcome [15]
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Absolute and Percentage change in SCORAD (SCORing Atopic Dermatitis) Index from Baseline
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Assessment method [15]
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SCORAD was used to assess the extent and severity of AD (Atopic Dermatitis). Extent and severity of eczema as well as subjective assessment of symptoms were assessed and scored. SCORAD total score ranges from 0 (absent disease) to 103 (severe disease)
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Timepoint [15]
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Baseline to Day 169 and over time up to Day 365
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Secondary outcome [16]
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Absolute and Percentage change in affected BSA from Baseline
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Assessment method [16]
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Timepoint [16]
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Baseline to Day 169 and over time up to Day 365
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Secondary outcome [17]
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Absolute and Percentage change in Patient Oriented Eczema Measure (POEM) from Baseline
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Assessment method [17]
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POEM is a 7-item (dryness, itching, flaking, cracking, sleep loss, bleeding, and weeping) questionnaire to assess frequency of disease symptoms with a scoring system of 0 to 28. The higher score indicating higher severity
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Timepoint [17]
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Baseline to Day 169 and over time up to Day 365
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Secondary outcome [18]
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Absolute and Percentage change in Dermatology Life Quality Index (DLQI) from Baseline
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Assessment method [18]
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DLQI is a questionnaire with a score system of 0 to 30 the high score is indicative of poor QoL.
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Timepoint [18]
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Baseline to Day 169 and over time up to Day 365
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Secondary outcome [19]
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Absolute and Percentage change in Atopic Dermatitis Control Tool (ADCT) from Baseline
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Assessment method [19]
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ADCT is a questionnaire to assess patient-self-perceived control of their eczema with a total score from 0 to 24; higher scores indicate lower AD control
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Timepoint [19]
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Baseline to Day 169 and over time up to Day 365
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Secondary outcome [20]
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Absolute and Percentage change in Hospital Anxiety and Depression Scale (HADS) from Baseline
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Assessment method [20]
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HADS is a fourteen-item scale with seven items each for anxiety and depression subscales. Scoring for each item ranges from zero to three. A subscale score \>8 denotes anxiety or depression
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Timepoint [20]
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Baseline to Day 169 and over time up to Day 365
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Secondary outcome [21]
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Absolute and Percentage change in weekly average of pruritus Numerical Rating Scale (NRS) from Baseline
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Assessment method [21]
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The pruritus NRS is a simple assessment tool to report the intensity of their pruritus (itch) ranges from 0 to 10 with 0 being 'no itch' and 10 being the 'worst itch imaginable'.
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Timepoint [21]
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Baseline to Day 169 and over time up to Day 365
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Secondary outcome [22]
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Proportion of patients with improvement (reduction) of weekly average of pruritus NRS (Numerical Rating Scale) = 3 with a baseline pruritus NRS = 3 from baseline
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Assessment method [22]
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The pruritus NRS is a simple assessment tool to report the intensity of their pruritus (itch) ranges from 0 to 10 with 0 being 'no itch' and 10 being the 'worst itch imaginable'.
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Timepoint [22]
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Baseline to Days 113 and 169
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Secondary outcome [23]
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Incidence of positive anti-Ky1005 antibody response
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Assessment method [23]
0
0
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Timepoint [23]
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Baseline through Day 477
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Secondary outcome [24]
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Time to loss of EASI 75
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Assessment method [24]
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The EASI is a composite index with scores ranging from 0 to 72. Higher scores indicates worse condition.
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Timepoint [24]
0
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Week 24 to Day 365
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Secondary outcome [25]
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Time to loss of IGA 0/1 (Patients with a response of 0 or 1 in IGA)
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Assessment method [25]
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The IGA is a five-point scale that provides a global clinical assessment of AD severity ranging from 0 to 4, where 0 indicates clear, 2 is mild, 3 is moderate, and 4 indicates severe AD.
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Timepoint [25]
0
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Week 24 to Day 365
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Secondary outcome [26]
0
0
Time to loss of EASI 50
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Assessment method [26]
0
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The EASI is a composite index with scores ranging from 0 to 72. Higher scores indicates worse condition.
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Timepoint [26]
0
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Week 24 to Day 365
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Secondary outcome [27]
0
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Patient Reported Outcomes - Knee Injury and Osteoarthritis Outcome Score for Joint Replacement (KOOS JR)
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Assessment method [27]
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KOOS JR assesses patient stiffness (1 item), pain (4 items), and functions of daily living (2 items). Scores range from 0 to 100 with a score of 0 indicating total knee disability and 100 indicating perfect knee health.
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Timepoint [27]
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Pre-op, 6 weeks, 6 months, 2 years and 5 years
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Secondary outcome [28]
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Patient Reported Outcomes - Oxford Knee Score (OKS)
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Assessment method [28]
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The OKS contains 12 equally weighted questions on activities of daily living. Responses to each question range from 0-4 with a range of a possible overall score from 0-48. A score of 0 is the worst possible outcome while a score of 48 is the best possible outcome.
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Timepoint [28]
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Pre-op, 6 weeks, 6 months, 2 years and 5 years
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Secondary outcome [29]
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Patient Reported Outcomes - Forgotten Joint Score (FJS)
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Assessment method [29]
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The FJS questionnaire focuses on the study participant's awareness of a specific joint in everyday life. Joint awareness can be simply defined as any unintended perception of a joint. The FJS for an individual participant is rated on a scale of 1-100 where 100 is the best/max score.
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Timepoint [29]
0
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Pre-op, 6 weeks, 6 months, 2 years and 5 years
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Secondary outcome [30]
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Radiographic Assessment - Implant Position
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Assessment method [30]
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Implant position will be assessed by the femoral flexion angle, tibial angle, and posterior tibial slope angle from AP and lateral radiographs.
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Timepoint [30]
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6 months, 2 years and 5 years
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Secondary outcome [31]
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Radiographic Assessment - Implant Migration
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Assessment method [31]
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Migration will be assessed in accordance with the following definitions:
* 0. Absent: Absence of progressive radiolucency OR absence of movement of the implant.
* 1. Present: Presence of progressive radiolucency AND presence of movement of the implant.
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Timepoint [31]
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6 months, 2 years and 5 years
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Secondary outcome [32]
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Radiographic Assessment - Progressive Radiolucency
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Assessment method [32]
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Progressive Radiolucency will be assessed in accordance with the following definitions:
* 0. Absent: No evidence of progressive radiolucency at the bone-cement interface relative to the last measured Radiolucent Line time point.
* 1. Present: Presence of an increase \>1 mm of the Radiolucent Line (Bone-Cement) width and/or new involvement of additional component zones relative to the last measured Radiolucent Line time point.
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Timepoint [32]
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6 months, 2 years and 5 years
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Secondary outcome [33]
0
0
Radiographic Assessment - Implant Loosening
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Assessment method [33]
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Both aseptic and septic component loosening will be evaluated to assess loss of implant fixation with the following definitions:
* 0. Absent: No evidence of specific imaging features of loosening in the joint space.
* 1. Present: Presence of apparent imaging features of loosening in the joint space.
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Timepoint [33]
0
0
6 months, 2 years and 5 years
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Secondary outcome [34]
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0
Post-Operation Device Related Re-Interventions Related to Operative Knee
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Assessment method [34]
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Count of device-related re-interventions that occur related to the operative knee post-operation.
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Timepoint [34]
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Post-op through study completion, approximately 5 years
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Secondary outcome [35]
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Implant Survival Rate Up to 5 Years Post-Operation
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Assessment method [35]
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Survivorship of the implant will be defined as the cumulative proportion of all knee implant components without a revision.
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Timepoint [35]
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0
1 year, 2 years and 5 years
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Secondary outcome [36]
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0
Objective Response Rate (ORR)
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Assessment method [36]
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0
The percentage of patients with a confirmed investigator assessed complete or partial response according to response criteria in solid tumours (RECIST 1.1).
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Timepoint [36]
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From first dose of AZD8205 to progressive disease or death in the absence of disease progression ( approx. 2 years )
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Secondary outcome [37]
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Duration of response (DoR)
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Assessment method [37]
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The time from the date of first response until date of disease progression (RECIST 1.1) or death in the absence of disease progression.
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Timepoint [37]
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From the first documented response to confirmed progressive disease or death ( approx. 2 years )
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Secondary outcome [38]
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Progression free Survival (PFS)
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Assessment method [38]
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The time from first dose until RECIST 1.1 defined disease progression or cessation of study treatment.
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Timepoint [38]
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From first dose of AZD8205 to progressive disease or death in the absence of disease progression ( approx. 2 years )
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Secondary outcome [39]
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0
Disease Control Rate at 12 weeks (DCR-12)
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Assessment method [39]
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Percentage of patients with confirmed CR or PR or having SD maintained for \>= 11 weeks from first dose (RECIST 1.1).
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Timepoint [39]
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Measured from first dose until progression. For each patient, this is expected to be at 12 weeks
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Secondary outcome [40]
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Overall Survival (OS)
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Assessment method [40]
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The time from the date of the first dose of study treatment until death due to any cause.
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Timepoint [40]
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From first dose of AZD8205 to death ( approx. 2 years )
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Secondary outcome [41]
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0
Pharmacokinetics of AZD8205: Area Under the concentration-time curve (AUC)
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Assessment method [41]
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0
Area under the plasma concentration-time curve
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Timepoint [41]
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0
From the first dose of study intervention, at predefined intervals throughout the administration of AZD8205 ( approx 2 years )
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Secondary outcome [42]
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0
Pharmacokinetics of AZD8205: Maximum plasma concentration of the study drug (Cmax)
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Assessment method [42]
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0
Maximum observed plasma concentration of the study drug
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Timepoint [42]
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0
From the first dose of study intervention, at predefined intervals throughout the administration of AZD8205 ( approx 2 years )
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Secondary outcome [43]
0
0
Pharmacokinetics of AZD8205: Time to maximum plasma concentration of the study drug (T-max)
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Assessment method [43]
0
0
Time to maximum observed plasma concentration of the study drug
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Timepoint [43]
0
0
From the first dose of study intervention, at predefined intervals throughout the administration of AZD8205 ( approx 2 years )
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Secondary outcome [44]
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0
Pharmacokinetics of AZD8205: Clearance
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Assessment method [44]
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0
A pharmacokinetic measurement of the volume of plasma from which the study drug is completely removed per unit time.
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Timepoint [44]
0
0
From the first dose of study intervention, at predefined intervals throughout the administration of AZD8205 ( approx 2 years )
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Secondary outcome [45]
0
0
Pharmacokinetics of AZD8205: Terminal elimination half-life (t 1/2)
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Assessment method [45]
0
0
Terminal elimination half life.
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Timepoint [45]
0
0
From the first dose of study intervention, at predefined intervals throughout the administration of AZD8205 ( approx 2 years )
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Secondary outcome [46]
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0
Immunogenicity of AZD8205.
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Assessment method [46]
0
0
The number and percentage of participants who develop ADAs.
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Timepoint [46]
0
0
From the first dose of study intervention, at predefined intervals throughout the administration of AZD8205 ( approx 2 years )
Query!
Secondary outcome [47]
0
0
Sub Study 1: AZD8205 monotherapy Pharmacodynamics
Query!
Assessment method [47]
0
0
To assess the intratumoral pharmacodynamic biomarkers (gamma H2AX H-scores) to AZD8205 when administered as a monotherapy.
Query!
Timepoint [47]
0
0
From the first dose of study intervention, at predefined intervals throughout the administration of AZD8205 ( approx 2 years )
Query!
Secondary outcome [48]
0
0
Sub Study 2: AZD8205 in combination with AZD2936 Pharmacodynamics
Query!
Assessment method [48]
0
0
To assess the change in intratumoral pharmacodynamic biomarkers (gamma H2AX H-scores) to AZD8205 when administered in combination with rilvegostomig.
Query!
Timepoint [48]
0
0
From the first dose of study intervention, at predefined intervals throughout the administration of AZD8205 ( approx 2 years )
Query!
Secondary outcome [49]
0
0
Spike antibody durability
Query!
Assessment method [49]
0
0
Serum geometric mean titers of anti-spike protein antibodies
Query!
Timepoint [49]
0
0
6 months post-second vaccine dose
Query!
Secondary outcome [50]
0
0
Spike antibody seropositive persistence
Query!
Assessment method [50]
0
0
Proportion of each group remaining seropositive for anti-spike antibodies
Query!
Timepoint [50]
0
0
6 months post-second vaccine dose
Query!
Eligibility
Key inclusion criteria
* Adults (18 to < 75 years of age) with AD as defined by the American Academy of Dermatology Consensus Criteria for 1 year or longer at Baseline.
* EASI of 12 or higher at the Screening Visit and 16 or higher at Baseline.
* IGA of 3 or 4 at Baseline.
* AD involvement of 10% or more of body surface area (BSA) at Baseline.
* Baseline worst/maximum pruritus NRS of =4.
* Documented history, within 6 months prior to Baseline, of either inadequate response or inadvisability of topical treatments.
* Must have applied a stable dose of topical bland emollient (simple moisturizer, no additives [e.g., urea]) at least twice daily for a minimum of 7 consecutive days before Baseline.
* Able to complete patient questionnaires.
* Able and willing to comply with requested study visits/telephone visits and procedures.
* Able and willing to provide written informed consent.
* For patients who decide to join the biopsy sub-study be able and willing to provide skin biopsies.
Query!
Minimum age
18
Years
Query!
Query!
Maximum age
75
Years
Query!
Query!
Sex
Both males and females
Query!
Can healthy volunteers participate?
No
Query!
Key exclusion criteria
* Treatment within specific time windows before the baseline visit for the management of atopic dermatitis such as topical or systemic corticosteroids, biologic or investigational therapies and/or phototherapy.
* Known history of, or suspected, significant current immunosuppression, including history of invasive opportunistic infections despite infection resolution or otherwise recurrent infections of abnormal frequency or prolonged duration.
* Weight <40 kg or >150 kg at Baseline.
* Treatment with a live (attenuated) immunization within 12 weeks prior to Baseline.
* Men and women (of reproductive potential) unwilling to use birth control and women who are pregnant or breastfeeding.
* Any malignancies or history of malignancies prior to Baseline (except for non-melanoma skin cancer that has been excised and cured for more than 3 years prior to Baseline; in situ cervical carcinoma that has been excised and cured).
* Positive for human immunodeficiency virus (HIV), hepatitis B or hepatitis C at the screening visit.
* Severe concomitant illness that would in the Investigator's opinion inhibit the patient's participation in the study, including for example, but not limited to, hypertension, renal disease, neurological conditions, heart failure and pulmonary disease.
* In the Investigator's opinion, any clinically significant laboratory results from the clinical chemistry, hematology or urinalysis tests at the Screening Visit.
* Concurrent participation in any other clinical study, including non-interventional studies.
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Query!
Study design
Purpose of the study
Treatment
Query!
Allocation to intervention
Randomised controlled trial
Query!
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Query!
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Query!
Masking / blinding
Blinded (masking used)
Query!
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
Query!
Query!
Query!
Query!
Intervention assignment
Parallel
Query!
Other design features
Query!
Phase
Phase 2
Query!
Type of endpoint/s
Query!
Statistical methods / analysis
Query!
Recruitment
Recruitment status
Completed
Query!
Data analysis
Query!
Reason for early stopping/withdrawal
Query!
Other reasons
Query!
Date of first participant enrolment
Anticipated
Query!
Actual
13/12/2021
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
Query!
Date of last data collection
Anticipated
Query!
Actual
21/02/2024
Query!
Sample size
Target
Query!
Accrual to date
Query!
Final
390
Query!
Recruitment in Australia
Recruitment state(s)
QLD,VIC,NSW,SA
Query!
Recruitment hospital [1]
0
0
Neurocrine Clinical Site - Brisbane
Query!
Recruitment hospital [2]
0
0
Investigative Site Number 3002 - Carlton
Query!
Recruitment hospital [3]
0
0
Investigative Site Number: 3003 - East Melbourne
Query!
Recruitment hospital [4]
0
0
Investigational Site Number: 3001 - Parkville
Query!
Recruitment hospital [5]
0
0
Neurocrine Clinical Site - Melbourne
Query!
Recruitment hospital [6]
0
0
St George and Sutherland Centre for Clinical Orthopaedic Research - Sydney
Query!
Recruitment hospital [7]
0
0
OrthoSport Victoria - Melbourne
Query!
Recruitment hospital [8]
0
0
Robina Hospital - Robina
Query!
Recruitment hospital [9]
0
0
The Avenue Hospital - Windsor
Query!
Recruitment hospital [10]
0
0
PersonalEYES - Parramatta
Query!
Recruitment hospital [11]
0
0
Eye Associates - Sydney
Query!
Recruitment hospital [12]
0
0
Armadale Eye Clinic - Armadale
Query!
Recruitment hospital [13]
0
0
Melbourne Eye Specialists - Fitzroy
Query!
Recruitment hospital [14]
0
0
North West Eye Specialists - Gladstone Park
Query!
Recruitment hospital [15]
0
0
Centre for Eye Research Australia (CERA) - Melbourne
Query!
Recruitment hospital [16]
0
0
Waverely Eye Clinic - Waverley
Query!
Recruitment hospital [17]
0
0
Research Site - Clayton
Query!
Recruitment hospital [18]
0
0
Research Site - Melbourne
Query!
Recruitment hospital [19]
0
0
Research Site - Nedlands
Query!
Recruitment hospital [20]
0
0
Research Site - South Brisbane
Query!
Recruitment hospital [21]
0
0
ARASMI - Adelaide
Query!
Recruitment postcode(s) [1]
0
0
4029 - Brisbane
Query!
Recruitment postcode(s) [2]
0
0
3053 - Carlton
Query!
Recruitment postcode(s) [3]
0
0
3002 - East Melbourne
Query!
Recruitment postcode(s) [4]
0
0
3050 - Parkville
Query!
Recruitment postcode(s) [5]
0
0
3004 - Melbourne
Query!
Recruitment postcode(s) [6]
0
0
3052 - Melbourne
Query!
Recruitment postcode(s) [7]
0
0
3065 - Melbourne
Query!
Recruitment postcode(s) [8]
0
0
3084 - Melbourne
Query!
Recruitment postcode(s) [9]
0
0
- Sydney
Query!
Recruitment postcode(s) [10]
0
0
3121 - Melbourne
Query!
Recruitment postcode(s) [11]
0
0
3121 - Robina
Query!
Recruitment postcode(s) [12]
0
0
3181 - Windsor
Query!
Recruitment postcode(s) [13]
0
0
2150 - Parramatta
Query!
Recruitment postcode(s) [14]
0
0
2000 - Sydney
Query!
Recruitment postcode(s) [15]
0
0
3143 - Armadale
Query!
Recruitment postcode(s) [16]
0
0
3065 - Fitzroy
Query!
Recruitment postcode(s) [17]
0
0
3403 - Gladstone Park
Query!
Recruitment postcode(s) [18]
0
0
3002 - Melbourne
Query!
Recruitment postcode(s) [19]
0
0
3150 - Waverley
Query!
Recruitment postcode(s) [20]
0
0
3168 - Clayton
Query!
Recruitment postcode(s) [21]
0
0
VIC 3000 - Melbourne
Query!
Recruitment postcode(s) [22]
0
0
6009 - Nedlands
Query!
Recruitment postcode(s) [23]
0
0
4101 - South Brisbane
Query!
Recruitment postcode(s) [24]
0
0
5042 - Adelaide
Query!
Recruitment outside Australia
Country [1]
0
0
United States of America
Query!
State/province [1]
0
0
California
Query!
Country [2]
0
0
United States of America
Query!
State/province [2]
0
0
Florida
Query!
Country [3]
0
0
United States of America
Query!
State/province [3]
0
0
Georgia
Query!
Country [4]
0
0
United States of America
Query!
State/province [4]
0
0
Indiana
Query!
Country [5]
0
0
United States of America
Query!
State/province [5]
0
0
Kentucky
Query!
Country [6]
0
0
United States of America
Query!
State/province [6]
0
0
Maryland
Query!
Country [7]
0
0
United States of America
Query!
State/province [7]
0
0
Massachusetts
Query!
Country [8]
0
0
United States of America
Query!
State/province [8]
0
0
Michigan
Query!
Country [9]
0
0
United States of America
Query!
State/province [9]
0
0
Oklahoma
Query!
Country [10]
0
0
United States of America
Query!
State/province [10]
0
0
Oregon
Query!
Country [11]
0
0
United States of America
Query!
State/province [11]
0
0
South Carolina
Query!
Country [12]
0
0
United States of America
Query!
State/province [12]
0
0
Tennessee
Query!
Country [13]
0
0
United States of America
Query!
State/province [13]
0
0
Texas
Query!
Country [14]
0
0
Bulgaria
Query!
State/province [14]
0
0
Pleven
Query!
Country [15]
0
0
Bulgaria
Query!
State/province [15]
0
0
Sofia
Query!
Country [16]
0
0
Bulgaria
Query!
State/province [16]
0
0
Stara Zagora
Query!
Country [17]
0
0
Canada
Query!
State/province [17]
0
0
Ontario
Query!
Country [18]
0
0
Czechia
Query!
State/province [18]
0
0
Jihomoravský Kraj
Query!
Country [19]
0
0
Czechia
Query!
State/province [19]
0
0
Moravskoslezský Kraj
Query!
Country [20]
0
0
Czechia
Query!
State/province [20]
0
0
Praha, Hlavní Mesto
Query!
Country [21]
0
0
Czechia
Query!
State/province [21]
0
0
Kutná Hora
Query!
Country [22]
0
0
Czechia
Query!
State/province [22]
0
0
Ostrava
Query!
Country [23]
0
0
Germany
Query!
State/province [23]
0
0
Bayern
Query!
Country [24]
0
0
Germany
Query!
State/province [24]
0
0
Brandenburg
Query!
Country [25]
0
0
Germany
Query!
State/province [25]
0
0
Nordrhein-Westfalen
Query!
Country [26]
0
0
Germany
Query!
State/province [26]
0
0
Schleswig-Holstein
Query!
Country [27]
0
0
Germany
Query!
State/province [27]
0
0
Berlin
Query!
Country [28]
0
0
Germany
Query!
State/province [28]
0
0
Hamburg
Query!
Country [29]
0
0
Hungary
Query!
State/province [29]
0
0
Bács-Kiskun
Query!
Country [30]
0
0
Hungary
Query!
State/province [30]
0
0
Békés
Query!
Country [31]
0
0
Hungary
Query!
State/province [31]
0
0
Csongrád
Query!
Country [32]
0
0
Hungary
Query!
State/province [32]
0
0
Hajdú-Bihar
Query!
Country [33]
0
0
Hungary
Query!
State/province [33]
0
0
Jász-Nagykun-Szolnok
Query!
Country [34]
0
0
Hungary
Query!
State/province [34]
0
0
Zala
Query!
Country [35]
0
0
Hungary
Query!
State/province [35]
0
0
Budapest
Query!
Country [36]
0
0
Japan
Query!
State/province [36]
0
0
Hokkaidô
Query!
Country [37]
0
0
Japan
Query!
State/province [37]
0
0
Kagosima
Query!
Country [38]
0
0
Japan
Query!
State/province [38]
0
0
Kanagawa
Query!
Country [39]
0
0
Japan
Query!
State/province [39]
0
0
Tiba
Query!
Country [40]
0
0
Japan
Query!
State/province [40]
0
0
Tokyo
Query!
Country [41]
0
0
Japan
Query!
State/province [41]
0
0
Kyoto-Shi
Query!
Country [42]
0
0
Japan
Query!
State/province [42]
0
0
Mibu-machi
Query!
Country [43]
0
0
Japan
Query!
State/province [43]
0
0
Sapporo
Query!
Country [44]
0
0
Japan
Query!
State/province [44]
0
0
Ôsaka
Query!
Country [45]
0
0
Poland
Query!
State/province [45]
0
0
Dolnoslaskie
Query!
Country [46]
0
0
Poland
Query!
State/province [46]
0
0
Lodzkie
Query!
Country [47]
0
0
Poland
Query!
State/province [47]
0
0
Lódzkie
Query!
Country [48]
0
0
Poland
Query!
State/province [48]
0
0
Malopolskie
Query!
Country [49]
0
0
Poland
Query!
State/province [49]
0
0
Mazowieckie
Query!
Country [50]
0
0
Poland
Query!
State/province [50]
0
0
Podkarpackie
Query!
Country [51]
0
0
Poland
Query!
State/province [51]
0
0
Podlaskie
Query!
Country [52]
0
0
Poland
Query!
State/province [52]
0
0
Pomorskie
Query!
Country [53]
0
0
Poland
Query!
State/province [53]
0
0
Slaskie
Query!
Country [54]
0
0
Poland
Query!
State/province [54]
0
0
Zachodniopomorskie
Query!
Country [55]
0
0
Poland
Query!
State/province [55]
0
0
Bialystok
Query!
Country [56]
0
0
Poland
Query!
State/province [56]
0
0
Gdansk
Query!
Country [57]
0
0
Poland
Query!
State/province [57]
0
0
Krakow
Query!
Country [58]
0
0
Poland
Query!
State/province [58]
0
0
Lódz
Query!
Country [59]
0
0
Spain
Query!
State/province [59]
0
0
Valencia
Query!
Country [60]
0
0
Spain
Query!
State/province [60]
0
0
Alicante
Query!
Country [61]
0
0
Spain
Query!
State/province [61]
0
0
Córdoba
Query!
Country [62]
0
0
Spain
Query!
State/province [62]
0
0
Madrid
Query!
Country [63]
0
0
Spain
Query!
State/province [63]
0
0
Pontevedra
Query!
Country [64]
0
0
Taiwan
Query!
State/province [64]
0
0
Niao Song Qu
Query!
Country [65]
0
0
Taiwan
Query!
State/province [65]
0
0
Taichung
Query!
Country [66]
0
0
Taiwan
Query!
State/province [66]
0
0
Taipei
Query!
Country [67]
0
0
Taiwan
Query!
State/province [67]
0
0
Taoyuan
Query!
Country [68]
0
0
United Kingdom
Query!
State/province [68]
0
0
London
Query!
Country [69]
0
0
United Kingdom
Query!
State/province [69]
0
0
Sheffield
Query!
Country [70]
0
0
Belgium
Query!
State/province [70]
0
0
Bruxelles
Query!
Country [71]
0
0
Belgium
Query!
State/province [71]
0
0
Gent
Query!
Country [72]
0
0
Belgium
Query!
State/province [72]
0
0
Leuven
Query!
Country [73]
0
0
Czechia
Query!
State/province [73]
0
0
Brno
Query!
Country [74]
0
0
Czechia
Query!
State/province [74]
0
0
Praha 5
Query!
Country [75]
0
0
Czechia
Query!
State/province [75]
0
0
Praha 6
Query!
Country [76]
0
0
Czechia
Query!
State/province [76]
0
0
Praha 8
Query!
Country [77]
0
0
Czechia
Query!
State/province [77]
0
0
Rychnov Nad Knežnou
Query!
Country [78]
0
0
France
Query!
State/province [78]
0
0
Bron
Query!
Country [79]
0
0
France
Query!
State/province [79]
0
0
Lille
Query!
Country [80]
0
0
France
Query!
State/province [80]
0
0
Paris
Query!
Country [81]
0
0
France
Query!
State/province [81]
0
0
Rennes
Query!
Country [82]
0
0
France
Query!
State/province [82]
0
0
Toulouse
Query!
Country [83]
0
0
Hungary
Query!
State/province [83]
0
0
Debrecen
Query!
Country [84]
0
0
Hungary
Query!
State/province [84]
0
0
Kistarcsa
Query!
Country [85]
0
0
Hungary
Query!
State/province [85]
0
0
Pécs
Query!
Country [86]
0
0
Italy
Query!
State/province [86]
0
0
Bologna
Query!
Country [87]
0
0
Italy
Query!
State/province [87]
0
0
Milano
Query!
Country [88]
0
0
Italy
Query!
State/province [88]
0
0
Pavia
Query!
Country [89]
0
0
Italy
Query!
State/province [89]
0
0
Pozzilli
Query!
Country [90]
0
0
Spain
Query!
State/province [90]
0
0
Barcelona
Query!
Country [91]
0
0
United Kingdom
Query!
State/province [91]
0
0
Cardiff
Query!
Country [92]
0
0
United States of America
Query!
State/province [92]
0
0
New York
Query!
Country [93]
0
0
United States of America
Query!
State/province [93]
0
0
North Carolina
Query!
Country [94]
0
0
United States of America
Query!
State/province [94]
0
0
Wisconsin
Query!
Country [95]
0
0
Canada
Query!
State/province [95]
0
0
Manitoba
Query!
Country [96]
0
0
Netherlands
Query!
State/province [96]
0
0
Ubbergen,
Query!
Country [97]
0
0
Netherlands
Query!
State/province [97]
0
0
Leeuwarden
Query!
Country [98]
0
0
Sweden
Query!
State/province [98]
0
0
Umeå
Query!
Country [99]
0
0
New Zealand
Query!
State/province [99]
0
0
Auckland
Query!
Country [100]
0
0
New Zealand
Query!
State/province [100]
0
0
Wellington
Query!
Country [101]
0
0
United States of America
Query!
State/province [101]
0
0
Louisiana
Query!
Country [102]
0
0
United States of America
Query!
State/province [102]
0
0
Missouri
Query!
Country [103]
0
0
United States of America
Query!
State/province [103]
0
0
New Mexico
Query!
Country [104]
0
0
United States of America
Query!
State/province [104]
0
0
Pennsylvania
Query!
Country [105]
0
0
Belgium
Query!
State/province [105]
0
0
Anderlecht
Query!
Country [106]
0
0
Canada
Query!
State/province [106]
0
0
Alberta
Query!
Country [107]
0
0
Canada
Query!
State/province [107]
0
0
British Columbia
Query!
Country [108]
0
0
Canada
Query!
State/province [108]
0
0
Quebec
Query!
Country [109]
0
0
China
Query!
State/province [109]
0
0
Beijing
Query!
Country [110]
0
0
China
Query!
State/province [110]
0
0
Changsha
Query!
Country [111]
0
0
China
Query!
State/province [111]
0
0
Chongqing
Query!
Country [112]
0
0
China
Query!
State/province [112]
0
0
Guangzhou
Query!
Country [113]
0
0
China
Query!
State/province [113]
0
0
Kunming
Query!
Country [114]
0
0
Italy
Query!
State/province [114]
0
0
Milan
Query!
Country [115]
0
0
Italy
Query!
State/province [115]
0
0
Modena
Query!
Country [116]
0
0
Italy
Query!
State/province [116]
0
0
Roma
Query!
Country [117]
0
0
Italy
Query!
State/province [117]
0
0
Rozzano
Query!
Country [118]
0
0
Japan
Query!
State/province [118]
0
0
Chuo-ku
Query!
Country [119]
0
0
Japan
Query!
State/province [119]
0
0
Kashiwa
Query!
Country [120]
0
0
Japan
Query!
State/province [120]
0
0
Koto-ku
Query!
Country [121]
0
0
Japan
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Sunto-gun
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Korea, Republic of
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Seoul
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Netherlands
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Amsterdam
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Poland
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Warszawa
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Spain
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L'Hospitalet de Llobregat
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Spain
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Málaga
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Spain
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Pamplona
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Taiwan
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Tainan
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Thailand
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Bangkok
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Thailand
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Chiang Mai
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United Kingdom
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Cambridge
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Kymab Limited
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Commercial sector/industry
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Sanofi
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Other
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Australian Respiratory and Sleep Medicine Institute
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Cinnagen
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Ethics approval
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Summary
Brief summary
This is an interventional, randomized, parallel group, treatment, Phase IIb, double blind, 5-arm study to assess the effect of Anti-OX40L Monoclonal Antibody (KY1005) in adult participants with moderate to severe atopic dermatitis. The estimated duration is 28 days for screening and then up to approximately day 477 (last dose no later than day 337+140 days safety follow-up) for all patients unless enrolled into the LTE (Long-Term Extension) protocol (NCT05492578) at either Day 169 depending on responder status or no later than Day 365 due to loss of clinical response.
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Trial website
https://clinicaltrials.gov/study/NCT05131477
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Trial related presentations / publications
Kinneer K, Wortmann P, Cooper ZA, Dickinson NJ, Masterson L, Cailleau T, Hutchinson I, Vijayakrishnan B, McFarlane M, Ball K, Davies M, Lewis A, Huang Y, Rosenbaum AI, Yuan J, Chesebrough J, Anderton J, Monks N, Novick S, Wang J, Dimasi N, Christie RJ, Sabol D, Tosto FA, Wallez Y, Leo E, Albertella MR, Staniszewska AD, Tice DA, Howard PW, Luheshi N, Sapra P. Design and Preclinical Evaluation of a Novel B7-H4-Directed Antibody-Drug Conjugate, AZD8205, Alone and in Combination with the PARP1-Selective Inhibitor AZD5305. Clin Cancer Res. 2023 Mar 14;29(6):1086-1101. doi: 10.1158/1078-0432.CCR-22-2630. Li L, Honda-Okubo Y, Huang Y, Jang H, Carlock MA, Baldwin J, Piplani S, Bebin-Blackwell AG, Forgacs D, Sakamoto K, Stella A, Turville S, Chataway T, Colella A, Triccas J, Ross TM, Petrovsky N. Immunisation of ferrets and mice with recombinant SARS-CoV-2 spike protein formulated with Advax-SM adjuvant protects against COVID-19 infection. Vaccine. 2021 Sep 24;39(40):5940-5953. doi: 10.1016/j.vaccine.2021.07.087. Epub 2021 Aug 3. Tabarsi P, Anjidani N, Shahpari R, Mardani M, Sabzvari A, Yazdani B, Roshanzamir K, Bayatani B, Taheri A, Petrovsky N, Li L, Barati S. Safety and immunogenicity of SpikoGen(R), an Advax-CpG55.2-adjuvanted SARS-CoV-2 spike protein vaccine: a phase 2 randomized placebo-controlled trial in both seropositive and seronegative populations. Clin Microbiol Infect. 2022 Sep;28(9):1263-1271. doi: 10.1016/j.cmi.2022.04.004. Epub 2022 Apr 15. Li L, Honda-Okubo Y, Baldwin J, Bowen R, Bielefeldt-Ohmann H, Petrovsky N. Covax-19/Spikogen(R) vaccine based on recombinant spike protein extracellular domain with Advax-CpG55.2 adjuvant provides single dose protection against SARS-CoV-2 infection in hamsters. Vaccine. 2022 May 20;40(23):3182-3192. doi: 10.1016/j.vaccine.2022.04.041. Epub 2022 Apr 18.
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Public notes
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Contacts
Principal investigator
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants.
Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
Supporting document/s available: Study protocol, Statistical analysis plan (SAP)
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When will data be available (start and end dates)?
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://vivli.org
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05131477