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CompletedNCT03334396BREEZE-AD1Updated Aug 18, 2020Results posted

A Study of Baricitinib (LY3009104) in Patients With Moderate to Severe Atopic Dermatitis

A Phase 3 interventional study of Baricitinib and Placebo in Atopic Dermatitis, sponsored by Eli Lilly and Company. Completed at 93 sites in 10 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-08-18.

Sponsored by Eli Lilly and Company · Phase 3, Interventional, and Treatment

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Phase
Phase 3
Study type
Interventional
Enrollment
660
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 11 studies testing baricitinib in Dermatitis, Atopic — 1 open to participants now, 1 under way, none of them phase 3. baricitinib · Dermatitis, Atopic.

Enrollment
2nd of 11
660 · median 440
Started
2017
with 1 other
Phase 3
8 of 11
none open now
Registered
2nd of 11
by date
Lead sponsor
9 of 11
Eli Lilly and Company

Among the 11 studies testing baricitinib in Dermatitis, Atopic, this one is the 2nd largest by enrollment, is one of 2 that started in 2017, is one of 8 in phase 3, and was the 2nd registered.

Dermatitis, Atopic

1,592 studies on the registry are indexed under Dermatitis, Atopic; 287 are open to participants now.

Browse Dermatitis, Atopic studies →

Open to participants now

1 of the 11 studies testing baricitinib in Dermatitis, Atopic is open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

About baricitinib

baricitinib: first FDA approval 2018 (OLUMIANT), first EMA approval 2017. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 195 Dermatitis, Atopic studies recruiting now, 83 (43%) set no upper age limit and 96 (49%) stop at 75 or younger; 94 take children under 18; 52 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 11 studies testing baricitinib in Dermatitis, Atopic, or all of them as a file.
02

Study summary

The purpose of this study is to evaluate the efficacy and safety of baricitinib as monotherapy in participants with moderate to severe atopic dermatitis.

03

Conditions studied

  • Atopic Dermatitis

Keywords

  • eczema
  • atopic eczema
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Have been diagnosed with moderate to severe Atopic Dermatitis for at least 12 months.
  • Have had inadequate response or intolerance to existing topical (applied to the skin) medications within 6 months preceding screening.
  • Are willing to discontinue certain treatments for eczema (such as systemic and topical treatments during a ).
  • Agree to use emollients daily.

Exclusion criteria

Exclusion Criteria:

  • Are currently experiencing or have a history of other concomitant skin conditions (e.g., psoriasis or lupus erythematosus), or a history of erythrodermic, , or unstable skin disease that requires frequent hospitalizations and/or intravenous treatment for skin infections.
  • A history of eczema herpeticum within 12 months, and/or a history of 2 or more episode of eczema herpeticum in the past.
  • Participants who are currently experiencing a skin infection that requires treatment, or is currently being treated, with topical or systemic antibiotics.
  • Have any serious illness that is anticipated to require the use of systemic or otherwise interfere with study participation or require active frequent monitoring (e.g., unstable chronic asthma).
  • Have been treated with the following therapies:

    • Monoclonal antibody for less than 5 half-lives prior to randomization.
    • Received prior treatment with any oral Janus kinase (JAK) inhibitor.
    • Received any parenteral corticosteroids administered by intramuscular or intravenous (IV) injection within 2 weeks prior to study entry or within 6 weeks prior to planned randomization or are anticipated to require parenteral injection of corticosteroids during the study.
    • Have had an intra-articular corticosteroid injection within 2 weeks prior to study entry or within 6 weeks prior to planned randomization.
  • Have high blood pressure characterized by a repeated systolic blood pressure >160 millimeters of mercury (mm Hg) or diastolic blood pressure >100 mm Hg.
  • Have had major surgery within the past eight weeks or are planning major surgery during the study.
  • Have experienced any of the following within 12 weeks of screening: venous thromboembolic event (VTE), myocardial infarction (MI), unstable ischemic heart disease, stroke, or Stage III/IV heart failure.
  • Have a history of recurrent (≥ 2) VTE or are considered at high risk of VTE as deemed by the investigator.
  • Have a history or presence of cardiovascular, respiratory, hepatic, chronic liver disease gastrointestinal, endocrine, hematological, neurological, lymphoproliferative disease or neuropsychiatric disorders or any other serious and/or unstable illness.
  • Have a current or recent clinically serious viral, bacterial, fungal, or parasitic infection including herpes zoster, tuberculosis.
  • Have specific laboratory abnormalities.
  • Have received certain treatments that are .
  • Pregnant or breastfeeding.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
660 participants (actual)

Study arms

  • Experimental
    4 milligram (mg) Baricitinib

    4 mg Baricitinib administered orally once daily. Placebo 1 mg and 2 mg administered orally every day to match.

    Drug: Baricitinib · Drug: Placebo

  • Experimental
    2 mg Baricitinib

    2 mg Baricitinib administered orally once daily. Placebo 1 mg and 4 mg administered orally every day to match.

    Drug: Baricitinib · Drug: Placebo

  • Experimental
    1 mg Baricitinib

    1 mg Baricitinib administered orally once daily. Placebo 2 mg and 4 mg administered orally every day to match.

    Drug: Baricitinib · Drug: Placebo

  • Placebo comparator
    Placebo

    Placebo administered orally once daily.

    Drug: Placebo

  • Experimental
    4 mg Baricitinib Maximum Extended Enrollment Cohort

    4 mg Baricitinib administered orally once daily. Placebo 1 mg, and 2 mg administered orally every day to match.

    Drug: Baricitinib · Drug: Placebo

  • Experimental
    2 mg Baricitinib Maximum Extended Enrollment Cohort

    2 mg Baricitinib administered orally once daily. Placebo 1 mg and 4 mg administered orally every day to match.

    Drug: Baricitinib · Drug: Placebo

  • Experimental
    1 mg Baricitinib Maximum Extended Enrollment Cohort

    1 mg Baricitinib administered orally once daily. Placebo 2 mg and 4 mg administered orally every day to match.

    Drug: Baricitinib · Drug: Placebo

  • Placebo comparator
    Placebo Maximum Extended Enrollment Cohort

    Placebo administered orally once daily.

    Drug: Placebo

Interventions

  • Administered orally.

    Also known as: LY3009104

  • DrugPlacebo

    Administered orally.

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Achieving Investigator's Global Assessment (IGA) of 0 or 1 With a ≥ 2 Point Improvement (Placebo, 2 mg, or 4 mg Baricitinib)

    The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification.

    Time frame: 16 Weeks

Secondary outcomes

  1. Percentage of Participants Achieving IGA of 0 or 1 With a ≥ 2 Point Improvement (Placebo, 1 mg Baricitinib)

    The IGA measures the investigator's global assessment of the participant's overall severity of their AD, based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification.

    Time frame: 16 Weeks

  2. Percentage of Participants Achieving Eczema Area and Severity Index 75 (EASI75)

    The EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent and clinical signs affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 to 72 (severe). The EASI75 is defined as a ≥ 75% improvement from baseline in the EASI score.

    Time frame: 16 Weeks

  3. Percentage of Participants Achieving EASI90

    The EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent and clinical signs affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 to 72 (severe). The EASI90 is defined as a ≥ 90% improvement from baseline in the EASI score.

    Time frame: 16 Weeks

  4. Percent Change From Baseline in EASI Score

    The EASI assesses objective physician estimates of 2 dimensions of AD - disease extent and clinical signs affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 to 72 (severe). Least Square (LS) Means were calculated using a MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effect

    Time frame: Baseline, 16 Weeks

  5. Percentage of Participants Achieving SCORing Atopic Dermatitis 75 (SCORAD75)

    The SCORAD index uses the rule of nines to assess disease extent and evaluates 6 clinical characteristics to determine disease severity: (1) erythema, (2) edema/papulation, (3) oozing/crusts, (4) excoriation, (5) lichenification, and (6) dryness on a scale of 0 to 3 (0=absence, 1=mild, 2=moderate, 3=severe). The SCORAD index also assesses subjective symptoms of pruritus and sleep loss with visual analog scale (VAS) where 0 is no itching or no trouble sleeping and 10 is unbearable itching or a lot of trouble sleeping. These 3 aspects: extent of disease (A: 0-1-2), disease severity (B: 0-18), \& subjective symptoms (C: 0-20) combine using A/5 + 7\*B/2+ C to give a maximum possible score of 103, where 0 = no disease and 103 = severe disease. The SCORAD75 responder is defined as a participant who achieves a ≥ 75% improvement from baseline in the SCORAD score.

    Time frame: 16 Weeks

  6. Percentage of Participants Achieving a 4-Point Improvement in Itch Numeric Rating Scale (NRS)

    The Itch Numeric Rating Scale (NRS) is a participant-administered, 11-point horizontal scale anchored at 0 and 10, with 0 representing "no itch" and 10 representing "worst itch imaginable." Overall severity of a participants itching is indicated by selecting the number, using a daily diary, that best describes the worst level of itching in the past 24 hours.

    Time frame: 16 Weeks

  7. Change From Baseline in the Score of Item 2 of the Atopic Dermatitis Sleep Scale (ADSS)

    Atopic Dermatitis Sleep Scale (ADSS) is a 3-item, participant-administered questionnaire developed to assess the impact of itch on sleep including difficulty falling asleep, frequency of waking, and difficulty getting back to sleep last night. Item 2, frequency of waking last night is reported by selecting the number of times they woke up each night, ranging from 0 to 29 times,where the higher a number indicates a worse outcome. The ADSS is designed to be completed daily, using a daily diary, with respondents thinking about sleep "last night." Each item is scored individually. LS Means were calculated using a MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by- visit-interaction as fixed continuous effects.

    Time frame: Baseline, 16 Weeks

  8. Change From Baseline in the Skin Pain Numeric Rating Scale (NRS)

    Skin Pain NRS is a participant-administered, 11-point horizontal scale anchored at 0 and 10, with 0 representing "no pain" and 10 representing "worst pain imaginable." Overall severity of a participant's skin pain is indicated by selecting the number, using a daily diary, that best describes the worst level of skin pain in the past 24 hours. LS Means were calculated using a MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effects.

    Time frame: Baseline, 16 Weeks

  9. Percentage of Participants Achieving EASI50

    The EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent and clinical signs affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100%) and the severity of 4 clinical signs (erythema, edema/papulation, excoriation, and lichenification) each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head and neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2 and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 to 72 (severe). The EASI50 is defined as a ≥ 50% improvement from baseline in EASI score.

    Time frame: 16 Weeks

  10. Percentage of Participants Achieving IGA of 0

    The IGA measures the investigator's global assessment of the participant's overall severity of their AD, based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification.

    Time frame: 16 Weeks

  11. Change From Baseline in SCORAD

    The SCORAD index uses the rule of nines to assess disease extent and evaluates 6 clinical characteristics to determine disease severity: (1) erythema, (2) edema/papulation, (3) oozing/crusts, (4) excoriation, (5) lichenification, and (6) dryness on a scale of 0 to 3 (0=absence, 1=mild, 2=moderate, 3=severe). The SCORAD index also assesses subjective symptoms of pruritus and sleep loss with VAS where 0 is no itching or no trouble sleeping and 10 is unbearable itching or a lot of trouble sleeping. These 3 aspects: extent of disease (A: 0-1-2), disease severity (B: 0-18), \& subjective symptoms (C: 0-20) combine using A/5 + 7\*B/2+ C to give a maximum possible score of 103, where 0 = no disease and 103 = severe disease. LS Means were calculated using a MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effects.

    Time frame: Baseline, 16 Weeks

  12. Percentage of Participants Achieving SCORAD90

    The SCORAD index uses the rule of nines to assess disease extent and evaluates 6 clinical characteristics to determine disease severity: (1) erythema, (2) edema/papulation, (3) oozing/crusts, (4) excoriation, (5) lichenification, and (6) dryness on a scale of 0 to 3 (0=absence, 1=mild, 2=moderate, 3=severe). The SCORAD index also assesses subjective symptoms of pruritus and sleep loss with VAS where 0 is no itching or no trouble sleeping and 10 is unbearable itching or a lot of trouble sleeping. These 3 aspects: extent of disease (A: 0-1-2), disease severity (B: 0-18), \& subjective symptoms (C: 0-20) combine using A/5 + 7\*B/2+ C to give a maximum possible score of 103, where 0 = no disease and 103 = severe disease. SCORAD90 is defined as a ≥ 90% improvement from baseline in the SCORAD score.

    Time frame: 16 Weeks

  13. Change From Baseline in Body Surface Area (BSA) Affected

    Body surface area affected by AD will be assessed for 4 separate body regions and is collected as part of the EASI assessment: head and neck, trunk (including genital region), upper extremities, and lower extremities (including the buttocks). Each body region will be assessed for disease extent ranging from 0% to 100% involvement. The overall total percentage will be reported based off of all 4 body regions combined, after applying specific multipliers to the different body regions to account for the percent of the total BSA represented by each of the 4 regions. Use the percentage of skin affected for each region (0 to 100%) in EASI as follows: BSA Total = 0.1\*BSAhead and neck + 0.3\*BSAtrunk + 0.2\* BSAupper limbs + 0.4\*BSAlower limbs. LS Means were calculated using MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effects.

    Time frame: Baseline, 16 Weeks

  14. Percentage of Participants Developing Skin Infections Requiring Antibiotic Treatment

    Percentage of participants developing skin infections requiring antibiotic treatment.

    Time frame: 16 Weeks

  15. Percent Change From Baseline in Itch NRS

    The Itch NRS is a participant-administered, 11-point horizontal scale, with 0 representing "no itch" and 10 representing "worst itch imaginable." Overall severity of a participant's itching is indicated by selecting the number, using a daily diary, that best describes the worst level of itching in the past 24 hours. LS Means were calculated using a MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effects.

    Time frame: Baseline, 16 Weeks

  16. Change From Baseline in the Total Score of the Patient Oriented Eczema Measure (POEM)

    The POEM is a 7-item self-assessment questionnaire that assesses disease symptoms (dryness, itching, flaking, cracking, sleep loss, bleeding and weeping) on a scale ranging from 0-4 (0 = no days, 1 = 1-2 days, 2 = 3-4 days, 3 = 5-6 days, 4 = everyday). The sum of the 7 items gives the total POEM score of 0 (absent disease) to 28 (severe disease). High scores are indicative of more severe disease and poor quality of life. LS Means were calculated using a MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effects.

    Time frame: Baseline, 16 Weeks

  17. Change From Baseline in the Patient Global Impression of Severity-Atopic Dermatitis (PGI-S-AD) Score

    The PGI-S-AD asked the participant to evaluate the severity of the disease at that point in time on a single-item, 5-point scale, using a daily diary. The same category labels used in the Physician's Global Assessment were used for the PGI-S-AD, i.e., "(0) no symptoms", "(1) very mild", "(2) mild" "(3) moderate", and "(4) severe." LS Means were calculated using a MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effects.

    Time frame: Baseline, 16 Weeks

  18. Change From Baseline on the Hospital Anxiety and Depression Scale (HADS)

    The HADS is a participant-rated instrument used to assess both anxiety and depression. This instrument consists of 14 item questionnaire, each item is rated on a 4-point scale, giving maximum scores of 21 for anxiety and depression. Scores of 11 or more on either subscale are considered to be a significant 'case' of psychological morbidity, while scores of 8-10 represent 'borderline' and 0-7, 'normal.' LS Means were calculated using a MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effects.

    Time frame: Baseline, 16 Weeks

  19. Change From Baseline in the Dermatology Life Quality Index (DLQI)

    The DLQI is a simple, participant-administered,10 question, validated, quality-of-life questionnaire that covers 6 domains including symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment. The recall period of this scale is over the last "week." Response categories include "not at all," "a lot," and "very much," with corresponding scores of 1, 2, and 3, respectively, and at unanswered ("not relevant") responses scored as "0." Scores range from 0 to 30 (less to more impairment), and a 4-point change from baseline is considered as the minimal clinically important difference threshold. LS Means were calculated using a MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effects.

    Time frame: Baseline, 16 Weeks

  20. Change From Baseline on the Work Productivity and Activity Impairment - Atopic Dermatitis (WPAI-AD) Questionnaire

    The WPAI-AD participant questionnaire was developed to measure the effect of general health and symptom severity on work productivity and regular activities in the 7 days prior to the visit. The WPAI-AD consists of 6 items grouped in 4 domains: absenteeism (work time missed), presenteeism (impairment at work/reduced on-the-job effectiveness), work productivity loss (overall work impairment/absenteeism plus presenteeism), and activity impairment, that range from 0% to 100%, with higher values indicating greater impairment. LS Means were calculated using a MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effects.

    Time frame: Baseline, 16 Weeks

  21. Change From Baseline on the European Quality of Life-5 Dimensions 5 Levels (EQ-5D-5L) Index Score United States and United Kingdom Algorithm

    EQ-5D-5L is a 2-part measurement. The first part is comprised of the following 5 participant-reported dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The responses are used to derive the health state index scores using the United Kingdom (UK) algorithm, with scores ranging from -0.594 to 1, and the United States (US) algorithm, with scores ranging from -0.109 to 1, with higher score indicating better health state. LS Means were calculated using MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effects.

    Time frame: Baseline, 16 Weeks

  22. Change From Baseline on the European Quality of Life-5 Dimensions 5 Levels (EQ-5D-5L) Visual Analog Score (VAS)

    EQ-5D-5L is a 2-part measurement. The second part is assessed using a visual analog scale (VAS) that ranged from 0 to 100 millimeter (mm), where 0 is the worst health you can imagine and 100 is the best health you can imagine. LS Means were calculated using MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effects.

    Time frame: Baseline, 16 Weeks

  23. Percentage of Participants Achieving Investigator's Global Assessment (IGA) of 0 or 1 With a ≥ 2 Point Improvement

    The IGA measures the investigator's global assessment of the participant's overall severity of their AD, based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification.

    Time frame: 4 Weeks

07

Results

Posted Jan 18, 2020

Participant flow

Participants who completed double blind treatment phase had option to enter extension study I4V-MC-JAHN (NCT03334435).

Participant flow — Overall Study
MilestonePlacebo1 mg Baricitinib2 mg Baricitinib4 mg BaricitinibPlacebo Maximum Extended Enrollment (MEE)1 mg Baricitinib MEE2 mg Baricitinib MEE4 mg Baricitinib MEE
Started24912712312515588
Received at least one dose of study drug24912712312515588
Completed22611611312012457
Not completed23111053131
Withdrew: Adverse event10100000
Withdrew: Lack of efficacy104131001
Withdrew: Lost to follow-up00100010
Withdrew: Physician decision10000000
Withdrew: Withdrawal by subject105722120
Withdrew: Pregnancy01000000
Withdrew: Ineligible01000000
Withdrew: Started new job10000000

Outcome measures

PrimaryPercentage of Participants Achieving Investigator's Global Assessment (IGA) of 0 or 1 With a ≥ 2 Point Improvement (Placebo, 2 mg, or 4 mg Baricitinib)

The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification.

Time frame:
16 Weeks
Reported as:
Number · percentage of participants
Percentage of Participants Achieving Investigator's Global Assessment (IGA) of 0 or 1 With a ≥ 2 Point Improvement (Placebo, 2 mg, or 4 mg Baricitinib)
percentage of participantsPlacebo2 mg Baricitinib4 mg Baricitinib
Percentage of Participants Achieving Investigator's Global Assessment (IGA) of 0 or 1 With a ≥ 2 Point Improvement (Placebo, 2 mg, or 4 mg Baricitinib)4.811.416.8
Statistical analysis
  • Placebo vs 2 mg Baricitinib · Regression, Logistic · p = 0.020 · Odds ratio (or): 2.61 · 95% CI 1.17 to 5.84
  • Placebo vs 4 mg Baricitinib · Regression, Logistic · p = <0.001 · Odds ratio (or): 4.10 · 95% CI 1.93 to 8.70
SecondaryPercentage of Participants Achieving IGA of 0 or 1 With a ≥ 2 Point Improvement (Placebo, 1 mg Baricitinib)

The IGA measures the investigator's global assessment of the participant's overall severity of their AD, based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification.

Time frame:
16 Weeks
Reported as:
Number · percentage of participants
Percentage of Participants Achieving IGA of 0 or 1 With a ≥ 2 Point Improvement (Placebo, 1 mg Baricitinib)
percentage of participantsPlacebo1 mg Baricitinib
Percentage of Participants Achieving IGA of 0 or 1 With a ≥ 2 Point Improvement (Placebo, 1 mg Baricitinib)4.811.8
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Regression, Logistic · p = 0.014 · Odds ratio (or): 2.72 · 95% CI 1.23 to 6.01
SecondaryPercentage of Participants Achieving Eczema Area and Severity Index 75 (EASI75)

The EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent and clinical signs affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 to 72 (severe). The EASI75 is defined as a ≥ 75% improvement from baseline in the EASI score.

Time frame:
16 Weeks
Reported as:
Number · percentage of participants
Percentage of Participants Achieving Eczema Area and Severity Index 75 (EASI75)
percentage of participantsPlacebo1 mg Baricitinib2 mg Baricitinib4 mg Baricitinib
Percentage of Participants Achieving Eczema Area and Severity Index 75 (EASI75)8.817.318.724.8
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Regression, Logistic · p = 0.032 · Odds ratio (or): 2.03 · 95% CI 1.06 to 3.88
  • Placebo vs 2 mg Baricitinib · Regression, Logistic · p = 0.006 · Odds ratio (or): 2.46 · 95% CI 1.29 to 4.67
  • Placebo vs 4 mg Baricitinib · Regression, Logistic · p = <0.001 · Odds ratio (or): 3.72 · 95% CI 2.01 to 6.89
SecondaryPercentage of Participants Achieving EASI90

The EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent and clinical signs affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 to 72 (severe). The EASI90 is defined as a ≥ 90% improvement from baseline in the EASI score.

Time frame:
16 Weeks
Reported as:
Number · percentage of participants
Percentage of Participants Achieving EASI90
percentage of participantsPlacebo1 mg Baricitinib2 mg Baricitinib4 mg Baricitinib
Percentage of Participants Achieving EASI904.88.710.616.0
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Regression, Logistic · p = 0.210 · Odds ratio (or): 1.73 · 95% CI 0.74 to 4.05
  • Placebo vs 2 mg Baricitinib · Regression, Logistic · p = 0.029 · Odds ratio (or): 2.50 · 95% CI 1.10 to 5.70
  • Placebo vs 4 mg Baricitinib · Regression, Logistic · p = <0.001 · Odds ratio (or): 4.13 · 95% CI 1.91 to 8.91
SecondaryPercent Change From Baseline in EASI Score

The EASI assesses objective physician estimates of 2 dimensions of AD - disease extent and clinical signs affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 to 72 (severe). Least Square (LS) Means were calculated using a MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effect

Time frame:
Baseline, 16 Weeks
Reported as:
Least squares mean · percent change
Percent Change From Baseline in EASI Score
percent changePlacebo1 mg Baricitinib2 mg Baricitinib4 mg Baricitinib
Percent Change From Baseline in EASI Score-34.82 ± 3.64-48.22 ± 4.52-51.89 ± 4.29-59.36 ± 3.84
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Mixed Models Analysis · p = 0.021 · Mean difference (final values): -13.40 · 95% CI -24.77 to -2.03
  • Placebo vs 2 mg Baricitinib · Mixed Models Analysis · p = 0.002 · Mean difference (final values): -17.07 · 95% CI -28.05 to -6.10
  • Placebo vs 4 mg Baricitinib · Mixed Models Analysis · p = <0.001 · Mean difference (final values): -24.54 · 95% CI -34.84 to -14.24
SecondaryPercentage of Participants Achieving SCORing Atopic Dermatitis 75 (SCORAD75)

The SCORAD index uses the rule of nines to assess disease extent and evaluates 6 clinical characteristics to determine disease severity: (1) erythema, (2) edema/papulation, (3) oozing/crusts, (4) excoriation, (5) lichenification, and (6) dryness on a scale of 0 to 3 (0=absence, 1=mild, 2=moderate, 3=severe). The SCORAD index also assesses subjective symptoms of pruritus and sleep loss with visual analog scale (VAS) where 0 is no itching or no trouble sleeping and 10 is unbearable itching or a lot of trouble sleeping. These 3 aspects: extent of disease (A: 0-1-2), disease severity (B: 0-18), \& subjective symptoms (C: 0-20) combine using A/5 + 7\*B/2+ C to give a maximum possible score of 103, where 0 = no disease and 103 = severe disease. The SCORAD75 responder is defined as a participant who achieves a ≥ 75% improvement from baseline in the SCORAD score.

Time frame:
16 Weeks
Reported as:
Number · percentage of participants
Percentage of Participants Achieving SCORing Atopic Dermatitis 75 (SCORAD75)
percentage of participantsPlacebo1 mg Baricitinib2 mg Baricitinib4 mg Baricitinib
Percentage of Participants Achieving SCORing Atopic Dermatitis 75 (SCORAD75)1.25.57.310.4
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Regression, Logistic · p = 0.025 · Odds ratio (or): 4.28 · 95% CI 1.20 to 15.24
  • Placebo vs 2 mg Baricitinib · Regression, Logistic · p = 0.004 · Odds ratio (or): 6.14 · 95% CI 1.79 to 20.99
  • Placebo vs 4 mg Baricitinib · Regression, Logistic · p = <0.001 · Odds ratio (or): 8.76 · 95% CI 2.68 to 28.58
SecondaryPercentage of Participants Achieving a 4-Point Improvement in Itch Numeric Rating Scale (NRS)

The Itch Numeric Rating Scale (NRS) is a participant-administered, 11-point horizontal scale anchored at 0 and 10, with 0 representing "no itch" and 10 representing "worst itch imaginable." Overall severity of a participants itching is indicated by selecting the number, using a daily diary, that best describes the worst level of itching in the past 24 hours.

Time frame:
16 Weeks
Reported as:
Number · percentage of participants
Percentage of Participants Achieving a 4-Point Improvement in Itch Numeric Rating Scale (NRS)
percentage of participantsPlacebo1 mg Baricitinib2 mg Baricitinib4 mg Baricitinib
Percentage of Participants Achieving a 4-Point Improvement in Itch Numeric Rating Scale (NRS)7.210.512.021.5
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Regression, Logistic · p = 0.246 · Odds ratio (or): 1.60 · 95% CI 0.72 to 3.56
  • Placebo vs 2 mg Baricitinib · Regression, Logistic · p = 0.169 · Odds ratio (or): 1.73 · 95% CI 0.79 to 3.77
  • Placebo vs 4 mg Baricitinib · Regression, Logistic · p = <0.001 · Odds ratio (or): 3.62 · 95% CI 1.82 to 7.18
SecondaryChange From Baseline in the Score of Item 2 of the Atopic Dermatitis Sleep Scale (ADSS)

Atopic Dermatitis Sleep Scale (ADSS) is a 3-item, participant-administered questionnaire developed to assess the impact of itch on sleep including difficulty falling asleep, frequency of waking, and difficulty getting back to sleep last night. Item 2, frequency of waking last night is reported by selecting the number of times they woke up each night, ranging from 0 to 29 times,where the higher a number indicates a worse outcome. The ADSS is designed to be completed daily, using a daily diary, with respondents thinking about sleep "last night." Each item is scored individually. LS Means were calculated using a MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by- visit-interaction as fixed continuous effects.

Time frame:
Baseline, 16 Weeks
Reported as:
Least squares mean · units on a scale
Change From Baseline in the Score of Item 2 of the Atopic Dermatitis Sleep Scale (ADSS)
units on a scalePlacebo1 mg Baricitinib2 mg Baricitinib4 mg Baricitinib
Change From Baseline in the Score of Item 2 of the Atopic Dermatitis Sleep Scale (ADSS)-0.84 ± 0.15-1.21 ± 0.18-1.04 ± 0.17-1.42 ± 0.16
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Mixed Models Analysis · p = 0.103 · Mean difference (final values): -0.37 · 95% CI -0.82 to 0.08
  • Placebo vs 2 mg Baricitinib · Mixed Models Analysis · p = 0.352 · Mean difference (final values): -0.21 · 95% CI -0.65 to 0.23
  • Placebo vs 4 mg Baricitinib · Mixed Models Analysis · p = 0.006 · Mean difference (final values): -0.58 · 95% CI -1.00 to -0.17
SecondaryChange From Baseline in the Skin Pain Numeric Rating Scale (NRS)

Skin Pain NRS is a participant-administered, 11-point horizontal scale anchored at 0 and 10, with 0 representing "no pain" and 10 representing "worst pain imaginable." Overall severity of a participant's skin pain is indicated by selecting the number, using a daily diary, that best describes the worst level of skin pain in the past 24 hours. LS Means were calculated using a MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effects.

Time frame:
Baseline, 16 Weeks
Reported as:
Least squares mean · units on a scale
Change From Baseline in the Skin Pain Numeric Rating Scale (NRS)
units on a scalePlacebo1 mg Baricitinib2 mg Baricitinib4 mg Baricitinib
Change From Baseline in the Skin Pain Numeric Rating Scale (NRS)-0.84 ± 0.24-1.92 ± 0.30-1.58 ± 0.29-1.93 ± 0.26
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Mixed Models Analysis · p = 0.005 · Mean difference (final values): -1.08 · 95% CI -1.84 to -0.32
  • Placebo vs 2 mg Baricitinib · Mixed Models Analysis · p = 0.051 · Mean difference (final values): -0.74 · 95% CI -1.48 to 0.00
  • Placebo vs 4 mg Baricitinib · Mixed Models Analysis · p = 0.002 · Mean difference (final values): -1.09 · 95% CI -1.79 to -0.39
SecondaryPercentage of Participants Achieving EASI50

The EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent and clinical signs affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100%) and the severity of 4 clinical signs (erythema, edema/papulation, excoriation, and lichenification) each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head and neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2 and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 to 72 (severe). The EASI50 is defined as a ≥ 50% improvement from baseline in EASI score.

Time frame:
16 Weeks
Reported as:
Number · percentage of participants
Percentage of Participants Achieving EASI50
percentage of participantsPlacebo1 mg Baricitinib2 mg Baricitinib4 mg Baricitinib
Percentage of Participants Achieving EASI5015.326.030.141.6
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Regression, Logistic · p = 0.019 · Odds ratio (or): 1.90 · 95% CI 1.11 to 3.25
  • Placebo vs 2 mg Baricitinib · Regression, Logistic · p = <0.001 · Mean difference (final values): 2.44 · 95% CI 1.44 to 4.14
  • Placebo vs 4 mg Baricitinib · Regression, Logistic · p = <0.001 · Mean difference (final values): 4.18 · 95% CI 2.51 to 6.96
SecondaryPercentage of Participants Achieving IGA of 0

The IGA measures the investigator's global assessment of the participant's overall severity of their AD, based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification.

Time frame:
16 Weeks
Reported as:
Number · percentage of participants
Percentage of Participants Achieving IGA of 0
percentage of participantsPlacebo1 mg Baricitinib2 mg Baricitinib4 mg Baricitinib
Percentage of Participants Achieving IGA of 00.81.62.41.6
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Regression, Logistic · p = 0.424 · Odds ratio (or): 1.98 · 95% CI 0.37 to 10.63
  • Placebo vs 2 mg Baricitinib · Regression, Logistic · p = 0.182 · Odds ratio (or): 2.89 · 95% CI 0.61 to 13.75
  • Placebo vs 4 mg Baricitinib · Regression, Logistic · p = 0.441 · Odds ratio (or): 1.94 · 95% CI 0.36 to 10.41
SecondaryChange From Baseline in SCORAD

The SCORAD index uses the rule of nines to assess disease extent and evaluates 6 clinical characteristics to determine disease severity: (1) erythema, (2) edema/papulation, (3) oozing/crusts, (4) excoriation, (5) lichenification, and (6) dryness on a scale of 0 to 3 (0=absence, 1=mild, 2=moderate, 3=severe). The SCORAD index also assesses subjective symptoms of pruritus and sleep loss with VAS where 0 is no itching or no trouble sleeping and 10 is unbearable itching or a lot of trouble sleeping. These 3 aspects: extent of disease (A: 0-1-2), disease severity (B: 0-18), \& subjective symptoms (C: 0-20) combine using A/5 + 7\*B/2+ C to give a maximum possible score of 103, where 0 = no disease and 103 = severe disease. LS Means were calculated using a MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effects.

Time frame:
Baseline, 16 Weeks
Reported as:
Least squares mean · units on a scale
Change From Baseline in SCORAD
units on a scalePlacebo1 mg Baricitinib2 mg Baricitinib4 mg Baricitinib
Change From Baseline in SCORAD-13.51 ± 2.00-18.85 ± 2.48-21.47 ± 2.36-28.30 ± 2.10
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Mixed Models Analysis · p = 0.093 · Mean difference (final values): -5.34 · 95% CI -11.57 to 0.90
  • Placebo vs 2 mg Baricitinib · Mixed Models Analysis · p = 0.010 · Mean difference (final values): -7.97 · 95% CI -14.01 to -1.92
  • Placebo vs 4 mg Baricitinib · Mixed Models Analysis · p = <0.001 · Mean difference (final values): -14.79 · 95% CI -20.46 to -9.13
SecondaryPercentage of Participants Achieving SCORAD90

The SCORAD index uses the rule of nines to assess disease extent and evaluates 6 clinical characteristics to determine disease severity: (1) erythema, (2) edema/papulation, (3) oozing/crusts, (4) excoriation, (5) lichenification, and (6) dryness on a scale of 0 to 3 (0=absence, 1=mild, 2=moderate, 3=severe). The SCORAD index also assesses subjective symptoms of pruritus and sleep loss with VAS where 0 is no itching or no trouble sleeping and 10 is unbearable itching or a lot of trouble sleeping. These 3 aspects: extent of disease (A: 0-1-2), disease severity (B: 0-18), \& subjective symptoms (C: 0-20) combine using A/5 + 7\*B/2+ C to give a maximum possible score of 103, where 0 = no disease and 103 = severe disease. SCORAD90 is defined as a ≥ 90% improvement from baseline in the SCORAD score.

Time frame:
16 Weeks
Reported as:
Number · percentage of participants
Percentage of Participants Achieving SCORAD90
percentage of participantsPlacebo1 mg Baricitinib2 mg Baricitinib4 mg Baricitinib
Percentage of Participants Achieving SCORAD900.80.82.42.4
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Regression, Logistic · p = 0.874 · Odds ratio (or): 1.17 · 95% CI 0.17 to 7.77
  • Placebo vs 2 mg Baricitinib · Regression, Logistic · p = 0.176 · Odds ratio (or): 2.88 · 95% CI 0.62 to 13.36
  • Placebo vs 4 mg Baricitinib · Regression, Logistic · p = 0.201 · Odds ratio (or): 2.72 · 95% CI 0.59 to 12.65
SecondaryChange From Baseline in Body Surface Area (BSA) Affected

Body surface area affected by AD will be assessed for 4 separate body regions and is collected as part of the EASI assessment: head and neck, trunk (including genital region), upper extremities, and lower extremities (including the buttocks). Each body region will be assessed for disease extent ranging from 0% to 100% involvement. The overall total percentage will be reported based off of all 4 body regions combined, after applying specific multipliers to the different body regions to account for the percent of the total BSA represented by each of the 4 regions. Use the percentage of skin affected for each region (0 to 100%) in EASI as follows: BSA Total = 0.1\*BSAhead and neck + 0.3\*BSAtrunk + 0.2\* BSAupper limbs + 0.4\*BSAlower limbs. LS Means were calculated using MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effects.

Time frame:
Baseline, 16 Weeks
Reported as:
Least squares mean · units on a scale
Change From Baseline in Body Surface Area (BSA) Affected
units on a scalePlacebo1 mg Baricitinib2 mg Baricitinib4 mg Baricitinib
Change From Baseline in Body Surface Area (BSA) Affected-14.80 ± 1.82-20.79 ± 2.26-20.14 ± 2.16-25.96 ± 1.93
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Mixed Models Analysis · p = 0.039 · Mean difference (final values): -5.99 · 95% CI -11.67 to -0.31
  • Placebo vs 2 mg Baricitinib · Mixed Models Analysis · p = 0.058 · Mean difference (final values): -5.34 · 95% CI -10.86 to 0.18
  • Placebo vs 4 mg Baricitinib · Mixed Models Analysis · p = <0.001 · Mean difference (final values): -11.16 · 95% CI -16.33 to -5.98
SecondaryPercentage of Participants Developing Skin Infections Requiring Antibiotic Treatment

Percentage of participants developing skin infections requiring antibiotic treatment.

Time frame:
16 Weeks
Reported as:
Number · percentage of participants
Percentage of Participants Developing Skin Infections Requiring Antibiotic Treatment
percentage of participantsPlacebo1 mg Baricitinib2 mg Baricitinib4 mg Baricitinib
Percentage of Participants Developing Skin Infections Requiring Antibiotic Treatment4.40.84.93.2
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Fisher Exact · p = 0.067
  • Placebo vs 2 mg Baricitinib · Fisher Exact · p = 0.799
  • Placebo vs 4 mg Baricitinib · Fisher Exact · p = 0.782
SecondaryPercent Change From Baseline in Itch NRS

The Itch NRS is a participant-administered, 11-point horizontal scale, with 0 representing "no itch" and 10 representing "worst itch imaginable." Overall severity of a participant's itching is indicated by selecting the number, using a daily diary, that best describes the worst level of itching in the past 24 hours. LS Means were calculated using a MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effects.

Time frame:
Baseline, 16 Weeks
Reported as:
Least squares mean · Percent Change
Percent Change From Baseline in Itch NRS
Percent ChangePlacebo1 mg Baricitinib2 mg Baricitinib4 mg Baricitinib
Percent Change From Baseline in Itch NRS-12.04 ± 4.65-31.30 ± 5.70-29.43 ± 5.45-36.55 ± 4.88
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Mixed Models Analysis · p = 0.009 · Mean difference (final values): -19.25 · 95% CI -33.69 to -4.81
  • Placebo vs 2 mg Baricitinib · Mixed Models Analysis · p = 0.015 · Mean difference (final values): -17.39 · 95% CI -31.43 to -3.35
  • Placebo vs 4 mg Baricitinib · Mixed Models Analysis · p = <0.001 · Mean difference (final values): -24.50 · 95% CI -37.71 to -11.30
SecondaryChange From Baseline in the Total Score of the Patient Oriented Eczema Measure (POEM)

The POEM is a 7-item self-assessment questionnaire that assesses disease symptoms (dryness, itching, flaking, cracking, sleep loss, bleeding and weeping) on a scale ranging from 0-4 (0 = no days, 1 = 1-2 days, 2 = 3-4 days, 3 = 5-6 days, 4 = everyday). The sum of the 7 items gives the total POEM score of 0 (absent disease) to 28 (severe disease). High scores are indicative of more severe disease and poor quality of life. LS Means were calculated using a MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effects.

Time frame:
Baseline, 16 Weeks
Reported as:
Least squares mean · units on a scale
Change From Baseline in the Total Score of the Patient Oriented Eczema Measure (POEM)
units on a scalePlacebo1 mg Baricitinib2 mg Baricitinib4 mg Baricitinib
Change From Baseline in the Total Score of the Patient Oriented Eczema Measure (POEM)-2.68 ± 0.76-5.32 ± 0.93-6.26 ± 0.91-7.84 ± 0.80
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Mixed Models Analysis · p = 0.028 · Mean difference (final values): -2.63 · 95% CI -4.98 to -0.29
  • Placebo vs 2 mg Baricitinib · Mixed Models Analysis · p = 0.003 · Mean difference (final values): -3.58 · 95% CI -5.89 to -1.27
  • Placebo vs 4 mg Baricitinib · Mixed Models Analysis · p = <0.001 · Mean difference (final values): -5.16 · 95% CI -7.33 to -2.99
SecondaryChange From Baseline in the Patient Global Impression of Severity-Atopic Dermatitis (PGI-S-AD) Score

The PGI-S-AD asked the participant to evaluate the severity of the disease at that point in time on a single-item, 5-point scale, using a daily diary. The same category labels used in the Physician's Global Assessment were used for the PGI-S-AD, i.e., "(0) no symptoms", "(1) very mild", "(2) mild" "(3) moderate", and "(4) severe." LS Means were calculated using a MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effects.

Time frame:
Baseline, 16 Weeks
Reported as:
Least squares mean · units on a scale
Change From Baseline in the Patient Global Impression of Severity-Atopic Dermatitis (PGI-S-AD) Score
units on a scalePlacebo1 mg Baricitinib2 mg Baricitinib4 mg Baricitinib
Change From Baseline in the Patient Global Impression of Severity-Atopic Dermatitis (PGI-S-AD) Score-0.31 ± 0.09-0.58 ± 0.12-0.58 ± 0.11-0.77 ± 0.10
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Mixed Models Analysis · p = 0.069 · Mean difference (final values): -0.27 · 95% CI -0.56 to 0.02
  • Placebo vs 2 mg Baricitinib · Mixed Models Analysis · p = 0.066 · Mean difference (final values): -0.27 · 95% CI -0.56 to 0.02
  • Placebo vs 4 mg Baricitinib · Mixed Models Analysis · p = <0.001 · Mean difference (final values): -0.46 · 95% CI -0.73 to -0.19
SecondaryChange From Baseline on the Hospital Anxiety and Depression Scale (HADS)

The HADS is a participant-rated instrument used to assess both anxiety and depression. This instrument consists of 14 item questionnaire, each item is rated on a 4-point scale, giving maximum scores of 21 for anxiety and depression. Scores of 11 or more on either subscale are considered to be a significant 'case' of psychological morbidity, while scores of 8-10 represent 'borderline' and 0-7, 'normal.' LS Means were calculated using a MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effects.

Time frame:
Baseline, 16 Weeks
Reported as:
Least squares mean · units on a scale
Change From Baseline on the Hospital Anxiety and Depression Scale (HADS)
units on a scalePlacebo1 mg Baricitinib2 mg Baricitinib4 mg Baricitinib
Anxiety-0.90 ± 0.28-1.35 ± 0.34-1.83 ± 0.33-2.05 ± 0.30
Depression-0.37 ± 0.27-1.04 ± 0.34-1.40 ± 0.32-1.50 ± 0.29
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Mixed Models Analysis · p = 0.305 · Mean difference (final values): -0.45 · 95% CI -1.30 to 0.41
  • Placebo vs 2 mg Baricitinib · Mixed Models Analysis · p = 0.029 · Mean difference (final values): -0.93 · 95% CI -1.77 to -0.10
  • Placebo vs 4 mg Baricitinib · Mixed Models Analysis · p = 0.004 · Mean difference (final values): -1.15 · 95% CI -1.93 to -0.36
  • Placebo vs 1 mg Baricitinib · Mixed Models Analysis · p = 0.113 · Mean difference (final values): -0.68 · 95% CI -1.51 to 0.16
  • Placebo vs 2 mg Baricitinib · Mixed Models Analysis · p = 0.014 · Mean difference (final values): -1.03 · 95% CI -1.85 to -0.22
  • Placebo vs 4 mg Baricitinib · Mixed Models Analysis · p = 0.004 · Mean difference (final values): -1.14 · 95% CI -1.91 to -0.37
SecondaryChange From Baseline in the Dermatology Life Quality Index (DLQI)

The DLQI is a simple, participant-administered,10 question, validated, quality-of-life questionnaire that covers 6 domains including symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment. The recall period of this scale is over the last "week." Response categories include "not at all," "a lot," and "very much," with corresponding scores of 1, 2, and 3, respectively, and at unanswered ("not relevant") responses scored as "0." Scores range from 0 to 30 (less to more impairment), and a 4-point change from baseline is considered as the minimal clinically important difference threshold. LS Means were calculated using a MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effects.

Time frame:
Baseline, 16 Weeks
Reported as:
Least squares mean · units on a scale
Change From Baseline in the Dermatology Life Quality Index (DLQI)
units on a scalePlacebo1 mg Baricitinib2 mg Baricitinib4 mg Baricitinib
Change From Baseline in the Dermatology Life Quality Index (DLQI)-2.46 ± 0.57-4.64 ± 0.70-4.30 ± 0.68-6.76 ± 0.60
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Mixed Models Analysis · p = 0.015 · Mean difference (final values): -2.17 · 95% CI -3.92 to -0.42
  • Placebo vs 2 mg Baricitinib · Mixed Models Analysis · p = 0.036 · Mean difference (final values): -1.84 · 95% CI -3.56 to -0.12
  • Placebo · Mixed Models Analysis · p = <0.001 · Mean difference (final values): -4.30 · 95% CI -5.91 to -2.69
SecondaryChange From Baseline on the Work Productivity and Activity Impairment - Atopic Dermatitis (WPAI-AD) Questionnaire

The WPAI-AD participant questionnaire was developed to measure the effect of general health and symptom severity on work productivity and regular activities in the 7 days prior to the visit. The WPAI-AD consists of 6 items grouped in 4 domains: absenteeism (work time missed), presenteeism (impairment at work/reduced on-the-job effectiveness), work productivity loss (overall work impairment/absenteeism plus presenteeism), and activity impairment, that range from 0% to 100%, with higher values indicating greater impairment. LS Means were calculated using a MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effects.

Time frame:
Baseline, 16 Weeks
Reported as:
Least squares mean · units on a scale
Change From Baseline on the Work Productivity and Activity Impairment - Atopic Dermatitis (WPAI-AD) Questionnaire
units on a scalePlacebo1 mg Baricitinib2 mg Baricitinib4 mg Baricitinib
Absenteeism-0.49 ± 1.68-4.54 ± 2.15-0.84 ± 2.23-3.89 ± 1.88
Presenteeism-2.89 ± 2.60-9.75 ± 3.37-11.53 ± 3.44-15.17 ± 2.95
Work Productivity Loss-2.57 ± 2.89-11.23 ± 3.75-9.06 ± 3.83-13.85 ± 3.29
Activity Impairment-5.67 ± 2.16-12.98 ± 2.63-10.80 ± 2.57-22.20 ± 2.30
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Mixed Models Analysis · p = 0.136 · Mean difference (final values): -4.05 · 95% CI -9.39 to 1.29
  • Placebo vs 2 mg Baricitinib · Mixed Models Analysis · p = 0.898 · Mean difference (final values): -0.35 · 95% CI -5.81 to 5.10
  • Placebo vs 4 mg Baricitinib · Mixed Models Analysis · p = 0.174 · Mean difference (final values): -3.40 · 95% CI -8.32 to 1.52
  • Placebo vs 1 mg Baricitinib · Mixed Models Analysis · p = 0.104 · Mean difference (final values): -6.86 · 95% CI -15.13 to 1.41
  • Placebo vs 2 mg Baricitinib · Mixed Models Analysis · p = 0.045 · Mean difference (final values): -8.64 · 95% CI -17.09 to -0.19
  • Placebo vs 4 mg Baricitinib · Mixed Models Analysis · p = 0.002 · Mean difference (final values): -12.28 · 95% CI -19.97 to -4.59
  • Placebo vs 1 mg Baricitinib · Mixed Models Analysis · p = 0.066 · Mean difference (final values): -8.66 · 95% CI -17.89 to 0.57
  • Placebo vs 2 mg Baricitinib · Mixed Models Analysis · p = 0.175 · Mean difference (final values): -6.49 · 95% CI -15.89 to 2.91
  • Placebo vs 4 mg Baricitinib · Mixed Models Analysis · p = 0.010 · Mean difference (final values): -11.28 · 95% CI -19.84 to -2.72
  • Placebo vs 1 mg Baricitinib · Mixed Models Analysis · p = 0.030 · Mean difference (final values): -7.31 · 95% CI -13.93 to -0.70
  • Placebo vs 2 mg Baricitinib · Mixed Models Analysis · p = 0.122 · Mean difference (final values): -5.13 · 95% CI -11.65 to 1.39
  • Placebo vs 4 mg Baricitinib · Mixed Models Analysis · p = <0.001 · Mean difference (final values): -16.52 · 95% CI -22.64 to -10.41
SecondaryChange From Baseline on the European Quality of Life-5 Dimensions 5 Levels (EQ-5D-5L) Index Score United States and United Kingdom Algorithm

EQ-5D-5L is a 2-part measurement. The first part is comprised of the following 5 participant-reported dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The responses are used to derive the health state index scores using the United Kingdom (UK) algorithm, with scores ranging from -0.594 to 1, and the United States (US) algorithm, with scores ranging from -0.109 to 1, with higher score indicating better health state. LS Means were calculated using MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effects.

Time frame:
Baseline, 16 Weeks
Reported as:
Least squares mean · units on a scale
Change From Baseline on the European Quality of Life-5 Dimensions 5 Levels (EQ-5D-5L) Index Score United States and United Kingdom Algorithm
units on a scalePlacebo1 mg Baricitinib2 mg Baricitinib4 mg Baricitinib
Health State Index Score (US Algorithm)0.01 ± 0.010.05 ± 0.020.05 ± 0.020.09 ± 0.01
Health State Index Score (UK Algorithm)0.01 ± 0.020.07 ± 0.020.07 ± 0.020.13 ± 0.02
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Mixed Models Analysis · p = 0.061 · Mean difference (final values): 0.04 · 95% CI -0.00 to 0.08
  • Placebo vs 2 mg Baricitinib · Mixed Models Analysis · p = 0.060 · Mean difference (final values): 0.04 · 95% CI -0.00 to 0.08
  • Placebo vs 4 mg Baricitinib · Mixed Models Analysis · p = <0.001 · Mean difference (final values): 0.08 · 95% CI 0.04 to 0.12
  • Placebo vs 1 mg Baricitinib · Mixed Models Analysis · p = 0.046 · Mean difference (final values): 0.06 · 95% CI 0.00 to 0.11
  • Placebo vs 2 mg Baricitinib · Mixed Models Analysis · p = 0.059 · Mean difference (final values): 0.05 · 95% CI -0.00 to 0.11
  • Placebo vs 4 mg Baricitinib · Mixed Models Analysis · p = <0.001 · Mean difference (final values): 0.11 · 95% CI 0.06 to 0.16
SecondaryChange From Baseline on the European Quality of Life-5 Dimensions 5 Levels (EQ-5D-5L) Visual Analog Score (VAS)

EQ-5D-5L is a 2-part measurement. The second part is assessed using a visual analog scale (VAS) that ranged from 0 to 100 millimeter (mm), where 0 is the worst health you can imagine and 100 is the best health you can imagine. LS Means were calculated using MMRM model with treatment, region, baseline disease severity (IGA), visit, and treatment-by-visit-interaction as fixed categorical effects and baseline and baseline-by-visit-interaction as fixed continuous effects.

Time frame:
Baseline, 16 Weeks
Reported as:
Least squares mean · millimeters
Change From Baseline on the European Quality of Life-5 Dimensions 5 Levels (EQ-5D-5L) Visual Analog Score (VAS)
millimetersPlacebo1 mg Baricitinib2 mg Baricitinib4 mg Baricitinib
Change From Baseline on the European Quality of Life-5 Dimensions 5 Levels (EQ-5D-5L) Visual Analog Score (VAS)2.00 ± 2.044.97 ± 2.533.35 ± 2.419.05 ± 2.17
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Mixed Models Analysis · p = 0.356 · Mean difference (final values): 2.97 · 95% CI -3.36 to 9.30
  • Placebo vs 2 mg Baricitinib · Mixed Models Analysis · p = 0.668 · Mean difference (final values): 1.34 · 95% CI -4.81 to 7.50
  • Placebo vs 4 mg Baricitinib · Mixed Models Analysis · p = 0.017 · Mean difference (final values): 7.05 · 95% CI 1.25 to 12.86
SecondaryPercentage of Participants Achieving Investigator's Global Assessment (IGA) of 0 or 1 With a ≥ 2 Point Improvement

The IGA measures the investigator's global assessment of the participant's overall severity of their AD, based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification.

Time frame:
4 Weeks
Reported as:
Number · percentage of participants
Percentage of Participants Achieving Investigator's Global Assessment (IGA) of 0 or 1 With a ≥ 2 Point Improvement
percentage of participantsPlacebo1 mg Baricitinib2 mg Baricitinib4 mg Baricitinib
Percentage of Participants Achieving Investigator's Global Assessment (IGA) of 0 or 1 With a ≥ 2 Point Improvement2.43.18.910.4
Statistical analysis
  • Placebo vs 1 mg Baricitinib · Regression, Logistic · p = 0.603 · Odds ratio (or): 1.38 · 95% CI 0.41 to 4.71
  • Placebo vs 2 mg Baricitinib · Regression, Logistic · p = 0.006 · Odds ratio (or): 4.08 · 95% CI 1.50 to 11.12
  • Placebo vs 4 mg Baricitinib · Regression, Logistic · p = 0.002 · Odds ratio (or): 4.72 · 95% CI 1.78 to 12.55

Adverse events

Collected over Baseline Up to 20 weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/249 (0%)6/249 (2.4%)55/249 (22.1%)
1 mg Baricitinib0/127 (0%)1/127 (0.8%)37/127 (29.1%)
2 mg Baricitinib0/123 (0%)0/123 (0%)34/123 (27.6%)
4 mg Baricitinib0/125 (0%)2/125 (1.6%)29/125 (23.2%)
Placebo Maximum Extended Enrollment0/15 (0%)0/15 (0%)3/15 (20%)
1 mg Baricitinib Maximum Extended Enrollment0/5 (0%)0/5 (0%)1/5 (20%)
2 mg Baricitinib Maximum Extended Enrollment0/8 (0%)0/8 (0%)2/8 (25%)
4 mg Baricitinib Maximum Extended Enrollment0/8 (0%)0/8 (0%)3/8 (37.5%)
Most frequent serious events
Most frequent serious events
EventPlacebo1 mg Baricitinib2 mg Baricitinib4 mg BaricitinibPlacebo Maximum Extended Enrollment1 mg Baricitinib Maximum Extended Enrollment2 mg Baricitinib Maximum Extended Enrollment4 mg Baricitinib Maximum Extended Enrollment
Dermatitis atopicSkin and subcutaneous tissue disorders2/2491/1270/1231/1250/150/50/80/8
Alcohol poisoningInjury, poisoning and procedural complications0/2490/1270/1231/1250/150/50/80/8
Clavicle fractureInjury, poisoning and procedural complications1/2490/1270/1230/1250/150/50/80/8
Rib fractureInjury, poisoning and procedural complications1/2490/1270/1230/1250/150/50/80/8
Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/2490/1270/1230/1250/150/50/80/8
Papillary thyroid cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/2490/1270/1230/1250/150/50/80/8
Suicide attemptPsychiatric disorders1/2490/1270/1230/1250/150/50/80/8
Most frequent other events
Showing 10 of 19
Most frequent other events
EventPlacebo1 mg Baricitinib2 mg Baricitinib4 mg BaricitinibPlacebo Maximum Extended Enrollment1 mg Baricitinib Maximum Extended Enrollment2 mg Baricitinib Maximum Extended Enrollment4 mg Baricitinib Maximum Extended Enrollment
PyrexiaGeneral disorders0/2491/1273/1231/1250/151/51/81/8
NasopharyngitisInfections and infestations26/24922/12712/12312/1250/150/50/80/8
Vulvovaginal candidiasisInfections and infestations1/1010/490/410/421/60/2—0/2
Abdominal painGastrointestinal disorders1/2492/1273/1230/1250/150/50/81/8
NauseaGastrointestinal disorders2/2491/1271/1231/1250/150/50/81/8
Oedema peripheralGeneral disorders1/2490/1270/1230/1250/150/50/81/8
Skin infectionInfections and infestations1/2490/1271/1230/1250/150/50/81/8
Urinary tract infectionInfections and infestations4/2491/1272/1234/1250/150/51/81/8
HeadacheNervous system disorders16/2497/12714/12310/1250/150/50/80/8
DiarrhoeaGastrointestinal disorders7/2499/1270/1234/1251/150/50/80/8

Baseline characteristics

All randomized participants. Results for maximum extended enrollment (MEE) participants will be reported within 1-year after the study completion.

Age, Categorical
Age, Categorical(Participants)Placebo1 mg Baricitinib2 mg Baricitinib4 mg BaricitinibPlacebo Maximum Extended Enrollment (MEE)1 mg Baricitinib MEE2 mg Baricitinib MEE4 mg Baricitinib MEETotal
<=18 years000000101
Between 18 and 65 years24212711812115568642
>=65 years7054001017
Sex: Female, Male
Sex: Female, Male(Participants)Placebo1 mg Baricitinib2 mg Baricitinib4 mg BaricitinibPlacebo Maximum Extended Enrollment (MEE)1 mg Baricitinib MEE2 mg Baricitinib MEE4 mg Baricitinib MEETotal
Female1014941426202243
Male1487882839386417
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Placebo1 mg Baricitinib2 mg Baricitinib4 mg BaricitinibPlacebo Maximum Extended Enrollment (MEE)1 mg Baricitinib MEE2 mg Baricitinib MEE4 mg Baricitinib MEETotal
American Indian or Alaska Native14772000030
Asian7340354115588225
Native Hawaiian or Other Pacific Islander000000000
Black or African American001100002
White1477475700000366
More than one race136510000034
Unknown or Not Reported200100003
Region of Enrollment
Region of Enrollment(Participants)Placebo1 mg Baricitinib2 mg Baricitinib4 mg BaricitinibPlacebo Maximum Extended Enrollment (MEE)1 mg Baricitinib MEE2 mg Baricitinib MEE4 mg Baricitinib MEETotal
Czechia36111118000076
Japan452321220000111
Taiwan25131312000063
Italy178613000044
Mexico3215179000073
France154137000039
Germany674437300000178
India12161558846
Russia11748000030
08

Study locations

93 sites
  • Clintrial, s.r.o.
    Praha 10, Hl. M. Praha 100 00, Czechia
  • Fakultni nemocnice Kralovske Vinohrady
    Praha 10, Hl. M. Praha 100 34, Czechia
  • Fakultni Nemocnice v Motole
    Praha 5, Hl. M. Praha 150 06, Czechia
  • Nemocnice Na Bulovce
    Praha 8, Hl. M. Praha 180 81, Czechia
  • Fakultni Nemocnice U svate Anny
    Brno, Jihomoravský Kraj 656 91, Czechia
  • Nemocnice Novy Jicin a.s.
    Novy Jicin, Moravskoslezsky Kraj 741 01, Czechia
  • Fakultni Nemocnice Plzen
    Plzen, Jizni Predmesti, Plzensky Kraj 301 00, Czechia
  • Kozni ambulance Kutna Hora, s.r.o.
    Kutna Hora, Stredocesky Kraj 28401, Czechia
  • Krajska zdravotni a.s. - Masarykova nemocnice v Usti nad Labem, o.z.
    Usti nad Labem, Ustecký Kraj 40113, Czechia
  • Aarhus Universitehospital Marselisborg Centret
    Aarhus, 8200, Denmark
  • Hopital Saint-Louis
    Paris, Cedex 10 75475, France
  • CHU de Bordeaux Hopital Saint Andre
    Bordeaux Cedex, 33075, France
  • CHRU de Brest - Hôpital Morvan
    Brest, 29200, France
  • CHU Grenoble Alpes
    Grenoble Cédex 9, 38043, France
  • Chru De Nantes Hotel-Dieu
    Nantes Cedex 1, 44093, France
  • CHU de Nice Hopital de L'Archet
    Nice cedex 3, 06202, France
  • Centre Hospitalier Lyon Sud
    Pierre Benite Cedex, 69495, France
  • Hopital Larrey
    Toulouse, 31059, France
  • Universitätsklinikum Freiburg
    Freiburg im Breisgau, Baden-Württemberg 79104, Germany
  • Klinikum der Universität München
    München, Bayern 80337, Germany
  • Gemeinschaftspraxis Mahlow
    Blankenfelde-Mahlow, Brandenburg 15831, Germany
  • Rosenpark Research Geschäftsbereich der Rosenparkklinik GmbH
    Darmstadt, Hessen 64283, Germany
  • Klinikum der Johann Wolfgang Goethe-Universität Frankfurt
    Frankfurt am Main, Hessen 60590, Germany
  • Universitätsmedizin Rostock
    Rostock, Mecklenburg-Vorpommern 18057, Germany
  • Dermatologisches Zentrum Osnabrück Nord
    Bramsche, Niedersachsen 49565, Germany
  • Universitätsmedizin Göttingen
    Göttingen, Niedersachsen 37075, Germany
  • Universitätsklinikum Bonn
    Bonn, Nordrhein-Westfalen 53127, Germany
  • Praxis Dr. Thomas Dirschka
    Wuppertal, Nordrhein-Westfalen 42287, Germany
  • Universitätsklinikum Otto-von-Guericke-Universität
    Magdeburg, Sachsen-Anhalt 39120, Germany
  • Praxis Gerlach
    Dresden, Sachsen 01097, Germany
  • Universitätsklinikum Carl Gustav Carus
    Dresden, Sachsen 01307, Germany
  • Universität Leipzig - Universitätsklinikum
    Leipzig, Sachsen 04103, Germany
  • Hautarztzentrum Kiel
    Kiel, Schleswig-Holstein 24103, Germany
  • Universitätsklinikum Schleswig-Holstein
    Kiel, Schleswig-Holstein 24105, Germany
  • Universitätsklinikum Schleswig-Holstein
    Lübeck, Schleswig-Holstein 23538, Germany
  • Rothhaar Studien GmbH
    Berlin, 10783, Germany
  • ISA GmbH
    Berlin, 10789, Germany
  • Praxis für Ganzheitliche Dermatologie im Ärztehaus
    Berlin, 13055, Germany
  • TFS Trial Form Support GmbH
    Hamburg, 20537, Germany
  • King George Hospital
    Vizag, Andhra Pradesh 530002, India
  • All India Institue of Medical Sciences (AIIMS)
    New Delhi, Delhi 110 029, India
  • Sir Ganga Ram Hospital
    New Delhi, Delhi 110060, India
  • Panchshil Hospital
    Ahmedabad, Gujarat 380005, India
  • Byramjee Jeejeebhoy Medical College & Civil Hospital
    Ahmedabad, Gujarat 380016, India
  • M S Ramaiah Medical College Hospital
    Bangalore, Karnataka 560054, India
  • Dr. D. Y. Patil Medical College & Hospital
    Navi Mumbai, Maharashtra 400706, India
  • Jehangir Hospital
    Pune, Maharashtra 411001, India
  • Seth GS Medical College & KEM Hospital
    Mumbai, Maharshtra 400012, India
  • Chennai Meenakshi Multispeciality Hospital
    Chennai, Tamil Nadu 600004, India
  • Gandhi Hospital
    Secunderabad, Telangana 500003, India
  • MV Hospital and Research Centre
    Lucknow, Uttar Pradesh 226003, India
  • Istituto Clinico Humanitas
    Rozzano, Milano 20089, Italy
  • Azienda Ospedaliera Universitaria Federico II
    Napoli, 80131, Italy
  • Azienda Ospedaliera - Universitaria Pisana
    Pisa, 56126, Italy
  • Policlinico di Tor Vergata
    Roma, 00133, Italy
  • Ospedale Policlinico Giambattista Rossi, Borgo Roma
    Verona, 37134, Italy
  • Kawashima Dermatology Clinic
    Ichikawa-shi, Chiba 272-0033, Japan
  • Fumimori Clinic
    Fukuoka-shi, Fukuoka 815-0082, Japan
  • Hiroshima University Hospital
    Hiroshima-shi, Hiroshima-ken 734-8551, Japan
  • Queen's Square Dermatology and Allergology
    Nishi-ku, Yokohama-city, Kanagawa 220-6208, Japan
  • Yokohama City Minato Red Cross Hospital
    Yokohama-shi, Kanagawa 231-8682, Japan
  • Kyoto Prefectural University of Medicine
    Kyoto-shi, Kyoto 602-8566, Japan
  • Kume Clinic
    Nishi-ku Sakai-shi, Osaka 593-8324, Japan
  • Shimane University Hospital
    Izumo, Shimane 693-8501, Japan
  • JA Shizuoka Kohseiren Enshu Hospital
    Hamamatsu-shi, Shizuoka 430-0929, Japan
  • Iidabashi Clinic
    Chiyoda-ku, Tokyo 102-0072, Japan
  • Nihonbashi Sakura Clinic
    Chuo-ku, Tokyo 103-0025, Japan
  • Sumire Dermatology Clinic
    Edogawa-ku, Tokyo 133-0057, Japan
  • NTT Medical Center Tokyo
    Shinagawa-KU, Tokyo 141-8625, Japan
  • Shirasaki Clinic
    Takaoka-shi, Toyama 9330871, Japan
  • Yamanashi Prefectural Central Hospital
    Kofu, Yamanashi 400-8506, Japan
  • Fukuoka University Hospital
    Fukuoka, 814-0180, Japan
  • Hospital de Jesus I.A.P.
    Mexico City, Distrito Federal 06090, Mexico
  • Grupo Médico CAMINO S.C.
    México City, Distrito Federal 03310, Mexico
  • Clínica Enfermedades Crónicas y Procedimientos Especiales SC
    Morella, Michoacan 58249, Mexico
  • CRI Centro Regiomontano de Investigacion S.C.
    Monterrey, Nuevo Leon 64060, Mexico
  • Hospital Univ. Dr. Jose Eleuterio Gonzalez
    Monterrey, Nuevo León 64460, Mexico
  • JM Research S.C.
    Cuernavaca, 62290, Mexico
  • RM Pharma Specialists S.A. de C.V.
    Distrito Federal, 3100, Mexico
  • Instituto de Investigaciones Aplicadas a la Neurociencia A.C
    Durango, 34000, Mexico
  • GBUZ Clinical dermatology and venereological dispensary
    Krasnodar, 350020, Russian Federation
  • State scientific centre for dermatovenerology and cosmetolog
    Moscow, 107076, Russian Federation
  • Russian state medical-stomatological university n.a. Evdokimov
    Moscow, 111398, Russian Federation
  • LLC ArsVitae NorthWest
    Saint-Petersburg, 194223, Russian Federation
  • LLC Medical Center "Kurator"
    Saint-Petersburg, 196240, Russian Federation
  • SPb SBHI Skin-venerologic dispensary #10
    St. Petersburg, 194021, Russian Federation
  • Chang Gung Memorial Hospital - Kaohsiung
    Kaohsiung City, 83301, Taiwan
  • Taipei Medical University- Shuang Ho Hospital
    New Taipei City, 23561, Taiwan
  • Chung Shan Medical University Hospital
    Taichung City, 40201, Taiwan
  • National Cheng Kung University Hospital
    Tainan City, 70403, Taiwan
  • National Taiwan University Hospital
    Taipei City, 10048, Taiwan
  • Chang Gung Memorial Hospital - Taipei
    Taipei City, 10508, Taiwan
  • Chang Gung Memorial Hospital - Linkou
    Taoyuan City, 33305, Taiwan
09

References and documents

Publications

  • Katoh N, Takita Y, Isaka Y, Nishikawa A, Torisu-Itakura H, Saeki H. Pooled Safety Analysis of Baricitinib in Adult Participants with Atopic Dermatitis in the Japanese Subpopulation from Six Randomized Clinical Trials. Dermatol Ther (Heidelb). 2022 Dec;12(12):2765-2779. doi: 10.1007/s13555-022-00828-5. Epub 2022 Oct 18. PubMed 36255569 ↗
  • Silverberg JI, DeLozier A, Sun L, Thyssen JP, Kim B, Yosipovitch G, Nunes FP, Gugiu PC, Doll HA, Eichenfield LF. Psychometric properties of the itch numeric rating scale, skin pain numeric rating scale, and atopic dermatitis sleep scale in adult patients with moderate-to-severe atopic dermatitis. Health Qual Life Outcomes. 2021 Oct 23;19(1):247. doi: 10.1186/s12955-021-01877-8. PubMed 34688290 ↗
  • Thyssen JP, Buhl T, Fernandez-Penas P, Kabashima K, Chen S, Lu N, DeLozier AM, Casillas M, Stander S. Baricitinib Rapidly Improves Skin Pain Resulting in Improved Quality of Life for Patients with Atopic Dermatitis: Analyses from BREEZE-AD1, 2, and 7. Dermatol Ther (Heidelb). 2021 Oct;11(5):1599-1611. doi: 10.1007/s13555-021-00577-x. Epub 2021 Jul 18. PubMed 34275122 ↗
  • King B, Maari C, Lain E, Silverberg JI, Issa M, Holzwarth K, Brinker D, Cardillo T, Nunes FP, Simpson EL. Extended Safety Analysis of Baricitinib 2 mg in Adult Patients with Atopic Dermatitis: An Integrated Analysis from Eight Randomized Clinical Trials. Am J Clin Dermatol. 2021 May;22(3):395-405. doi: 10.1007/s40257-021-00602-x. Epub 2021 Apr 7. PubMed 33826132 ↗
  • Reich K, DeLozier AM, Nunes FP, Thyssen JP, Eichenfield LF, Wollenberg A, Ross Terres JA, Watts SD, Chen YF, Simpson EL, Silverberg JI. Baricitinib improves symptoms in patients with moderate-to-severe atopic dermatitis and inadequate response to topical corticosteroids: patient-reported outcomes from two randomized monotherapy phase III trials. J Dermatolog Treat. 2022 May;33(3):1521-1530. doi: 10.1080/09546634.2020.1839008. Epub 2020 Nov 22. PubMed 33222559 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

Time frame: Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.

Access criteria: A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.

Data sharing details ↗ · vivli.org

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2017 to primary completion in Dec 2018, 12 months.

Results were first posted in Jan 2020, 1 year 1 month after primary completion.

Of 150 industry-sponsored phase 3 interventional studies under Dermatitis, Atopic, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 28. This study's 12 months is below that.

Counting every sponsor, half of 157 studies reached it within 18 months; a quarter within 13 and three quarters within 28.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 3, 2017
First posted
Nov 7, 2017
StartActual
Nov 23, 2017
Primary completionActual
Dec 6, 2018
CompletionActual
Aug 16, 2019
Results first posted
Jan 18, 2020
Last update
Aug 18, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 18, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03334396
Collaborators
Incyte Corporation
Responsible party
Sponsor
First posted
Nov 7, 2017
Start date
Nov 23, 2017
Primary completion
Dec 6, 2018
Completion
Aug 16, 2019
Results posted
Jan 18, 2020
Last update
Aug 18, 2020

Study contacts

Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
study director · Eli Lilly and Company

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Baricitinib

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