A Trial to Evaluate the Efficacy and Safety of Tralokinumab in Combination With Topical Corticosteroids in Children and Infants With Moderate-to-severe Atopic Dermatitis

Last updated: May 15, 2025
Sponsor: LEO Pharma
Overall Status: Active - Recruiting

Phase

3

Condition

Dermatitis, Atopic

Atopic Dermatitis

Skin Infections/disorders

Treatment

Tralokinumab + TCS

Placebo + TCS

Clinical Study ID

NCT06311682
LP0162-1336
2023-503630-44
U1111-1285-6559
  • Ages 6-11
  • All Genders

Study Summary

The purpose of this trial is to test whether treatment with tralokinumab (administered subcutaneous injections [SC]) in combination with topical corticosteroids (TCS) is safe and effective to treat moderate-to-severe atopic dermatitis (AD) in children and infants. This will be judged by a range of assessments that rate the severity and extent of atopic dermatitis and its symptoms, as well as general health status and quality of life. The trial will last for up to 4 years. There will be visits every 2 weeks for the first year and every 6 weeks thereafter. Some of the visits will be conducted by phone.

The study involves two different age groups: children aged 2 to under 12 years and infants aged 6 months to under 2 years. This trial compares tralokinumab +TCS to placebo

  • TCS for children with moderate-to-severe AD and evaluates tralokinumab + TCS for infants with moderate-to-severe AD. Infants will not receive placebo. All subjects will go through a screening process, which is the first part of the trial and will last up to 4 weeks. During this period, it will be checked if the child or infant meets the criteria to participate in the trial.

The children will be randomly assigned to receive tralokinumab + TCS or placebo + TCS for the initial 16 weeks, with the treatment being double-blinded. During the first 16 weeks, children will have a 2 out of 3 chance of getting tralokinumab and a 1 out of 3 chance of getting placebo. Thereafter, all subjects will receive tralokinumab + TCS. The infants will receive tralokinumab + TCS as open-label treatment for the entire treatment period, meaning that the participants will know they are receiving tralokinumab. After stopping treatment, all participants will enter a 4-week safety follow-up period.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Age 6 months to <12 years at screening.

  • Body weight ≥9 kg at screening.

  • Diagnosis of AD as defined by the Hanifin and Rajka (1980) criteria for AD.

  • History of AD for: ≥12 months for subjects aged ≥6 years at screening and ≥3 monthsfor subjects aged 6 months to <6 years at screening.

  • Documented inadequate response to mid-strength TCS within 6 months before thescreening visit.

  • AD involvement of ≥10% body surface area at screening and baseline according tocomponent A of SCORAD.

  • An EASI score of ≥16 at screening and baseline.

  • An IGA score of ≥3 at screening and baseline.

  • A Child Worst Itch NRS average score of ≥4 (subjects aged ≥6 years at screening) ora Scratch ObsRO average score of ≥4 (subjects aged <6 years at screening) during theweek prior to baseline.

Exclusion

Exclusion Criteria:

  • Treatment with the topical corticosteroids (TCS), topical calcineurin inhibitors (TCI), topical phosphodiesterase-4 inhibitors (PDE-4), and topical Janus kinaseinhibitors (JAK) within 1 week prior to baseline.

  • Treatment with bleach baths within 1 week prior to baseline.

  • Treatment with the immunomodulatory medications systemicimmunosuppressive/immunomodulating drugs (e.g. methotrexate, cyclosporine,azathioprine, mycophenolate mofetil, Janus kinase inhibitors) and systemiccorticosteroids (excludes inhaled, ophthalmic, or intranasal delivery) within 4weeks prior to baseline.

  • Use of tanning beds or phototherapy within 4 weeks prior to baseline.

  • Treatment with a live (attenuated) or non-live vaccine within 30 days prior to thebaseline visit.

  • Active dermatologic conditions that may confound the diagnosis of AD or wouldinterfere with assessment of treatment such as seborrheic dermatitis, active skininfection, scabies, cutaneous T cell lymphoma, or psoriasis.

  • Clinically significant active chronic or acute infection requiring treatment withsystemic antibiotics, antivirals, antifungals or antiprotozoal within 2 weeks beforethe baseline visit.

  • History of past or current hepatitis B or C including a positive hepatitis B or Ctest at screening.

Study Design

Total Participants: 195
Treatment Group(s): 2
Primary Treatment: Tralokinumab + TCS
Phase: 3
Study Start date:
June 10, 2024
Estimated Completion Date:
April 28, 2028

Connect with a study center

  • Leo Pharma Investigational site

    Brussel, 1020
    Belgium

    Active - Recruiting

  • Leo Pharma Investigational site

    Ghent, 9000
    Belgium

    Active - Recruiting

  • Leo Pharma Investigational site

    Leuven, 3000
    Belgium

    Active - Recruiting

  • Leo Pharma Investigational site

    Liège, 4000
    Belgium

    Active - Recruiting

  • Leo Pharma Investigational site

    Burlington, L7L 6W6
    Canada

    Active - Recruiting

  • Leo Pharma Investigational site

    Calgary, Calgary
    Canada

    Active - Recruiting

  • Leo Pharma Investigational site

    Edmonton, T5J 3S9
    Canada

    Active - Recruiting

  • Leo Pharma Investigational site

    Hamilton, L8S 1G5
    Canada

    Active - Recruiting

  • Leo Pharma Investigational site

    Niagara Falls, L2H 1H5
    Canada

    Active - Recruiting

  • Leo Pharma Investigational site

    Saskatoon, S7K 2C1
    Canada

    Active - Recruiting

  • Leo Pharma Investigational site

    Windsor, N8X2G1
    Canada

    Active - Recruiting

  • Leo Pharma Investigational site

    Winnipeg, R3M 3Z4
    Canada

    Active - Recruiting

  • Leo Pharma Investigational site

    Rijeka, 51000
    Croatia

    Active - Recruiting

  • Leo Pharma Investigational site

    Zagreb, 10000
    Croatia

    Active - Recruiting

  • Leo Pharma Investigational site

    Buxtehude, 21614
    Germany

    Active - Recruiting

  • Leo Pharma Investigational site

    Osnabrück, 49074
    Germany

    Active - Recruiting

  • Leo Pharma Investigational site

    Tübingen, 72076
    Germany

    Active - Recruiting

  • Leo Pharma Investigational site

    Wuppertal, 42283
    Germany

    Active - Recruiting

  • Leo Pharma Investigational site

    Crumlin, D12N512
    Ireland

    Active - Recruiting

  • Leo Pharma Investigational site

    Ancona, 60126
    Italy

    Active - Recruiting

  • Leo Pharma Investigational site

    Brescia, 25123
    Italy

    Active - Recruiting

  • Leo Pharma Investigational site

    Rom, 00165
    Italy

    Active - Recruiting

  • Leo Pharma Investigational site

    Roma, 00168
    Italy

    Active - Recruiting

  • Leo Pharma Investigational site

    Ansan-si, 15355
    Korea, Republic of

    Active - Recruiting

  • Leo Pharma Investigational site

    Gwangju, 61453
    Korea, Republic of

    Active - Recruiting

  • Leo Pharma Investigational site

    Seoul, 03080
    Korea, Republic of

    Active - Recruiting

  • Leo Pharma Investigational site

    Utrecht, 3584 CW
    Netherlands

    Active - Recruiting

  • Leo Pharma Investigational site

    Gdansk, 80-546
    Poland

    Active - Recruiting

  • Leo Pharma Investigational site

    Kraków, 30-002
    Poland

    Active - Recruiting

  • Leo Pharma Investigational site

    Ostrowiec Świętokrzyski, 27-400
    Poland

    Active - Recruiting

  • Leo Pharma Investigational site

    Rzeszów, 35-055
    Poland

    Active - Recruiting

  • Leo Pharma Investigational site

    Tarnow, 33-100
    Poland

    Active - Recruiting

  • Leo Pharma Investigational site

    Warszawa, 02-953
    Poland

    Active - Recruiting

  • Leo Pharma Investigational site

    Łódź, 90-436
    Poland

    Active - Recruiting

  • Leo Pharma Investigational site

    Brasov, 500091
    Romania

    Active - Recruiting

  • Leo Pharma Investigational site

    Alicante, 03010
    Spain

    Active - Recruiting

  • Leo Pharma Investigational site

    Madrid, 28046
    Spain

    Active - Recruiting

  • Leo Pharma Investigational site

    Valencia, 46014
    Spain

    Active - Recruiting

  • Leo Pharma Investigational site

    Lincoln, LN2 5QY
    United Kingdom

    Active - Recruiting

  • Leo Pharma Investigational site

    London, WC1N 3JH
    United Kingdom

    Active - Recruiting

  • Leo Pharma Investigational site

    Sheffield, S10 2TH
    United Kingdom

    Active - Recruiting

  • Leo Pharma Investigational site

    Southampton, SO16 6YD
    United Kingdom

    Active - Recruiting

  • Leo Pharma Investigational site

    Birmingham, Alabama 35209
    United States

    Active - Recruiting

  • Leo Pharma Investigational site

    North Little Rock, Arkansas 72117
    United States

    Active - Recruiting

  • Leo Pharma Investigational site

    Palo Alto, California 94304
    United States

    Active - Recruiting

  • Leo Pharma Investigational site

    Sacramento, California 95816
    United States

    Active - Recruiting

  • Leo Pharma Investigational site

    San Diego, California 92108
    United States

    Active - Recruiting

  • Leo Pharma Investigational site

    Tampa, Florida 33613
    United States

    Active - Recruiting

  • Leo Pharma Investigational site

    Macon, Georgia 31217
    United States

    Active - Recruiting

  • Leo Pharma Investigational site

    Waterford, Michigan 48328
    United States

    Active - Recruiting

  • Leo Pharma Investigational site

    Tulsa, Oklahoma 74136
    United States

    Active - Recruiting

  • Leo Pharma Investigational site

    Portland, Oregon 97239
    United States

    Active - Recruiting

  • Leo Pharma Investigational site

    Norfolk, Virginia 23502
    United States

    Active - Recruiting

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