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CLINICAL STUDIES
Kalvin, a real Adbry patient

Kalvin, a real Adbry patient. Individual results may vary.

EASI, IGA, and Pruritus NRS at Week 16

 

Significant improvements in skin clearance, lesion extent and severity with both monotherapy and combination therapy8,10

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BASELINE CHARACTERISTICS
Adbry was studied in nearly 2000 patients graphic

Adbry was assessed as monotherapy and as combination therapy (with TCS as needed)

Primary Endpoints8

  • Improvement of at least 75% in EASI (EASI-75) at Week 16

  • Achievement of IGA 0 or 1 (clear or almost clear skin) at Week 16

Secondary Endpoint8

  • Reduction of Worst Daily Pruritus NRS (weekly average) of at least 4 points on the 11-point itch NRS from baseline to Week 16
Flowchart illustrating the Adbry® monotherapy clinical trial process, including a 3:1 randomization for screening, initial treatment, and maintenance treatment phases.

q2w=every 2 weeks; q4w=every 4 weeks; TCS=topical corticosteroid.

Adbry was administered via subcutaneous injection.
*Responders defined as achieving the primary endpoints of IGA 0 or 1 or EASI-75 at Week 16.
Nonresponders at Week 16 and subjects who lost clinical response during the maintenance period were placed on open-label treatment with Adbry 300 mg every other week and optional use of TCS.
Placebo responders continued on placebo to maintain blind participation and were not included in analyses after Week 16.

Flowchart showing the Adbry® combination therapy clinical trial, including a 2:1 randomization for screening, initial treatment, and maintenance treatment phases.

Adbry was administered via subcutaneous injection.

*Responders defined as achieving the primary endpoints of IGA 0 or 1 or EASI-75 at Week 16. Subjects who did not achieve clinical response at Week 16 received Adbry 300 mg every other week + TCS for another 16 weeks.
A midpotency TCS (ie, mometasone furoate 0.1% cream) was dispensed at each dosing visit. The subjects were instructed to apply a thin film of the dispensed TCS as needed, once daily, to active lesions from Week 0 to Week 32, and were to discontinue treatment with TCS when control was achieved. An additional, lower-potency TCS or TCI could be used at the investigator’s discretion on areas of the body where use of the supplied TCS was not advisable, such as areas of thin skin.
Placebo responders continued on placebo to maintain blind participation and were not included in analyses after Week 16.

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EASI & IGA
Week 16 chart: improvements in ECZTRA 1,2 and ECZTRA 3
ADBRY MONOTHERAPY Q2W
Progression of atopic dermatitis treatment on an arm using Adbry® monotherapy, showing results before treatment, at Week 4, and at Week 16.
Progression of atopic dermatitis treatment on an arm using Adbry® monotherapy, showing results before treatment, at Week 4, and at Week 16.

Limitations:

Week 16 was a prespecified timepoint. This analysis was not prespecified and not adjusted for multiplicity. Conclusions should be made with caution.

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WORST DAILY PRURITUS (NRS)

Patients taking Adbry experienced significant itch reduction
(≥4-point reduction in Worst Daily Pruritus NRS [weekly
average]) at Week 16 vs placebo8,10,11

SECONDARY ENDPOINT (Q2W)

Week 16 hart: itch reduction in Worst Daily Pruritus NRS

*Subjects who received rescue treatment or with missing data were considered nonresponders.
Subjects with baseline Worst Daily pruritus NRS (weekly average) score ≥4.

Beth, a real Adbry clinical trial patient
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MAINTENANCE OF RESPONSE

ECZTRA 3: Proportion of patients achieving EASI-9010†

Chart: Percentage of patients receiving Adbry + TCS who achieved EASI-90 response through Week 32

*Responders were defined as subjects with an IGA 0 or 1 (“clear” or “almost clear”) or EASI-75 at Week 16. At Week 16, responders were re-randomized to Adbry 300 mg Q2W + TCS or Adbry Q4W + TCS for another 16 weeks.
Subjects who received rescue treatment or with missing data were considered nonresponders.
All patients randomized to Adbry Q2W + TCS (as needed) in the initial treatment period (Weeks 0 to 16) were pooled for this post-hoc analysis, irrespective of response at Week 16 or tralokinumab dosing regimen (Q2W or Q4W) beyond Week 16. Patients who achieved IGA 0/1 or EASI-75 at Week 16 without use of rescue medication were re-randomized 1:1 to Adbry + TCS Q2W or Q4W. Week 16 nonresponders received Adbry + TCS Q2W.

Limitations:

EASI-90 was a prespecified endpoint at Week 16. Other timepoints and pooling of data and Q2W and Q4W treatment arms after Week 16 were not prespecified. Analyses were not adjusted for multiplicity and conclusions should be made with caution.

Percentage of responders who maintained response through Week 5210*†

Pooled analysis of ECZTRA 1 and 2.

No TCS use graphic

Not an actual size

Percentage of responders who maintained response through Week 52 after switching to placebo10*†

Pooled analysis of ECZTRA 1 and 2.

In ECZTRA 1 and 2, a percentage of responders at Week 16 who were re-randomized to placebo maintained their response at Week 52 without any TCS use in a pooled analysis10*†

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OPEN-LABEL EXTENSION RESULTS
Graph showing median EASI improvement with Adbry® up to 4 years from parent trials and ECZTEND trial.

EASI=Eczema Area and Severity Index.

*Median EASI score at pivotal trial baseline: 26.7; at ECZTEND baseline: 4.7; at week 152: 1.4.10
Variable time between last treatment in parent trial and first treatment in ECZTEND (maximum 26 weeks).
A total of 2666 patients from the ECZTRA 1, 2, 3, 5, 6, 7, and 8 parent trials were enrolled in ECZTEND as of data cutoff. Data presented from a post-hoc interim analysis of an ongoing OLE trial represent a selected subgroup of patients (n=347) from the parent trials ECZTRA 1 and 2 who elected to enter the ECZTEND trial and had consistently received Adbry for a total of up to 4 years at data cutoff (April 30, 2022). As such, data may not be generalizable to the full Adbry population.

Limitations:

Limitations and context associated with the open-label study design and data are described above and include decreasing sample size, potential continued involvement of responders, and attrition of nonresponders. Data presented are descriptive in nature and no statistical comparisons are made.

ECZTEND is an ongoing Phase 3, long-term, five-year, open-label, single-arm extension trial to evaluate the safety and efficacy of Adbry in patients with AD who participated in the previous Adbry parent trials. Patients were permitted to enter ECZTEND after completion of the parent trial regardless of their treatment response or whether they were treated with Adbry or placebo. Patients received a loading dose followed by 300 mg q2w plus optional TCS as needed.14

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