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CompletedNCT03334422BREEZE-AD2Updated Jan 22, 2020Results posted

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 80 sites in 10 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-01-22.

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

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Phase
Phase 3
Study type
Interventional
Enrollment
615
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
3rd of 11
615 · 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 3rd 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.

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Get alerts for 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
615 participants (actual)

Study arms

  • Experimental
    4 Milligram (mg) Baricitinib

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

    Drug: Baricitinib · Drug: Placebo

  • Experimental
    2mg Baricitinib

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

    Drug: Baricitinib · Drug: Placebo

  • Experimental
    1mg Baricitinib

    1mg 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

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, 2mg and 4mg Baricitinib)

    The IGA measures the investigator's global assessment of the participants 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, 1mg Baricitinib)

    The IGA measures the investigator's global assessment of the participants 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 is 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 is 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 on 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 is obtained by weight-averaging these 4 scores and will range from 0 to 72 (severe). Least Square (LS) Means were calculated using a mixed model repeated measures (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

  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 VAS where 0 is no itching or no trouble sleeping and 10 is unbearable Itching or 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 Skin Pain 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. LSMean was 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

  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 (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 EASI 50 is defined as ≥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 participants 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 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. LSMeans was calculated using MMRM model with treatment, region, baseline disease severity (IGA), visit, \& treatment-by-visit-interaction as fixed categorical effects. 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 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 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. LSMean 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. LSMean were calculated using MMRM model with treatment, region, baseline disease severity (IGA), visit, \& treatment-by-visit-interaction as fixed categorical effects. 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. LSMean were calculated using MMRM model with treatment, region, baseline disease severity (IGA), visit, \& treatment-by-visit-interaction as fixed categorical effects. 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, ie, "(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 items 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. LSMean were calculated using MMRM model with treatment, region, baseline disease severity (IGA), visit, \& treatment-by-visit-interaction as fixed categorical effects. Baseline and baseline-by-visit-interaction as fixed continuous effects.

    Time frame: Baseline, 16 Weeks

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

    The DLQI is a simple, participant-administered, 10 question, validated, quality-of-life questionnaire that covers 6 domains: 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 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. LSMean were calculated using MMRM model with treatment, region, baseline disease severity (IGA), visit, \& treatment-by-visit-interaction as fixed categorical effects. 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. LSMean were calculated using MMRM model with treatment, region, baseline disease severity (IGA), visit, \& treatment-by-visit-interaction as fixed categorical effects. 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. A higher score indicates better health state. LSMean were calculated using MMRM model with treatment, region, baseline disease severity (IGA), visit, \& treatment-by-visit-interaction as fixed categorical effects. 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. LSMean were calculated using MMRM model with treatment, region, baseline disease severity (IGA), visit, \& treatment-by-visit-interaction as fixed categorical effects. 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 participants 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 22, 2020

Participant flow

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

Participant flow — Overall Study
MilestonePlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Started244125123123
Received at least one dose of study drug244124123123
Completed225115113117
Not completed1910106
Withdrew: Adverse event1322
Withdrew: Lack of efficacy10273
Withdrew: Withdrawal by subject8310
Withdrew: Lost to follow-up0001
Withdrew: Inability to obtain laboratory samples0100
Withdrew: Pregnancy0100

Outcome measures

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

The IGA measures the investigator's global assessment of the participants 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, 2mg and 4mg Baricitinib)
percentage of participantsPlacebo2mg Baricitinib4mg Baricitinib
Percentage of Participants Achieving Investigator's Global Assessment (IGA) of 0 or 1 With a ≥ 2 Point Improvement (Placebo, 2mg and 4mg Baricitinib)4.510.613.8
Statistical analysis
  • Placebo vs 2mg Baricitinib · Regression, Logistic · p = 0.026 · Odds ratio (or): 2.58 · 95% CI 1.12 to 5.92
  • Placebo vs 4mg Baricitinib · Regression, Logistic · p = 0.001 · Odds ratio (or): 3.64 · 95% CI 1.64 to 8.05
SecondaryPercentage of Participants Achieving IGA of 0 or 1 With a ≥ 2 Point Improvement (Placebo, 1mg Baricitinib)

The IGA measures the investigator's global assessment of the participants 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, 1mg Baricitinib)
percentage of participantsPlacebo1mg Baricitinib
Percentage of Participants Achieving IGA of 0 or 1 With a ≥ 2 Point Improvement (Placebo, 1mg Baricitinib)4.58.8
Statistical analysis
  • Placebo vs 1mg Baricitinib · Regression, Logistic · p = 0.085 · Odds ratio (or): 2.13 · 95% CI 0.90 to 5.02
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 is 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 participantsPlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Percentage of Participants Achieving Eczema Area and Severity Index 75 (EASI75)6.112.817.921.1
Statistical analysis
  • Placebo vs 1mg Baricitinib · Regression, Logistic · p = 0.024 · Odds ratio (or): 2.35 · 95% CI 1.12 to 4.93
  • Placebo vs 2mg Baricitinib · Regression, Logistic · p = <0.001 · Odds ratio (or): 3.49 · 95% CI 1.73 to 7.04
  • Placebo vs 4mg Baricitinib · Regression, Logistic · p = <0.001 · Odds ratio (or): 4.41 · 95% CI 2.22 to 8.76
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 is 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 participantsPlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Percentage of Participants Achieving EASI902.56.48.913.0
Statistical analysis
  • Placebo vs 1mg Baricitinib · Regression, Logistic · p = 0.053 · Odds ratio (or): 2.80 · 95% CI 0.99 to 7.97
  • Placebo vs 2mg Baricitinib · Regression, Logistic · p = 0.007 · Odds ratio (or): 3.87 · 95% CI 1.44 to 10.41
  • Placebo vs 4mg Baricitinib · Regression, Logistic · p = <0.001 · Odds ratio (or): 6.20 · 95% CI 2.42 to 15.91
SecondaryPercent Change From Baseline on 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 is obtained by weight-averaging these 4 scores and will range from 0 to 72 (severe). Least Square (LS) Means were calculated using a mixed model repeated measures (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 on EASI Score
Percent ChangePlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Percent Change From Baseline on EASI Score-28.91 ± 4.32-41.68 ± 5.33-54.80 ± 4.99-54.88 ± 4.56
Statistical analysis
  • Placebo vs 1mg Baricitinib · Mixed Models Analysis · p = 0.062 · Mean difference (net): -12.76 · 95% CI -26.19 to 0.66
  • Placebo vs 2mg Baricitinib · Mixed Models Analysis · p = <0.001 · Mean difference (net): -25.89 · 95% CI -38.78 to -12.99
  • Placebo vs 4mg Baricitinib · Mixed Models Analysis · p = <0.001 · Mean difference (net): -25.97 · 95% CI -38.29 to -13.65
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 VAS where 0 is no itching or no trouble sleeping and 10 is unbearable Itching or 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 participantsPlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Percentage of Participants Achieving SCORing Atopic Dermatitis 75 (SCORAD75)1.64.87.311.4
Statistical analysis
  • Placebo vs 1mg Baricitinib · Regression, Logistic · p = 0.086 · Odds ratio (or): 2.90 · 95% CI 0.86 to 9.76
  • Placebo vs 2mg Baricitinib · Regression, Logistic · p = 0.006 · Odds ratio (or): 4.95 · 95% CI 1.58 to 15.49
  • Placebo vs 4mg Baricitinib · Regression, Logistic · p = <0.001 · Odds ratio (or): 7.40 · 95% CI 2.51 to 21.83
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 participantsPlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Percentage of Participants Achieving a 4-Point Improvement in Itch Numeric Rating Scale (NRS)4.76.015.118.7
Statistical analysis
  • Placebo vs 1mg Baricitinib · Regression, Logistic · p = 0.505 · Odds ratio (or): 1.41 · 95% CI 0.51 to 3.87
  • Placebo vs 2mg Baricitinib · Regression, Logistic · p = 0.002 · Odds ratio (or): 3.64 · 95% CI 1.60 to 8.27
  • Placebo vs 4mg Baricitinib · Regression, Logistic · p = <0.001 · Odds ratio (or): 4.91 · 95% CI 2.22 to 10.86
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 scalePlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Change From Baseline in the Score of Item 2 of the Atopic Dermatitis Sleep Scale (ADSS)-0.8 ± 0.09-1.10 ± 0.12-1.21 ± 0.12-1.38 ± 0.12
Statistical analysis
  • Placebo vs 1mg Baricitinib · Mixed Models Analysis · p = 0.074 · Mean difference (net): -0.27 · 95% CI -0.57 to 0.03
  • Placebo vs 2mg Baricitinib · Mixed Models Analysis · p = 0.011 · Mean difference (net): -0.38 · 95% CI -0.68 to -0.09
  • Placebo vs 4mg Baricitinib · Mixed Models Analysis · p = <0.001 · Mean difference (net): -0.55 · 95% CI -0.84 to -0.26
SecondaryChange From Baseline in Skin Pain 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. LSMean was 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 Skin Pain NRS
units on a scalePlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Change From Baseline in Skin Pain NRS-0.86 ± 0.26-1.09 ± 0.32-2.61 ± 0.30-2.49 ± 0.28
Statistical analysis
  • Placebo vs 1mg Baricitinib · Mixed Models Analysis · p = 0.580 · Mean difference (net): -0.23 · 95% CI -1.05 to 0.59
  • Placebo vs 2mg Baricitinib · Mixed Models Analysis · p = <0.001 · Mean difference (net): -1.75 · 95% CI -2.54 to -0.96
  • Placebo vs 4mg Baricitinib · Mixed Models Analysis · p = <0.001 · Mean difference (net): -1.62 · 95% CI -2.37 to -0.87
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 (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 EASI 50 is defined as ≥50% improvement from baseline in EASI score.

Time frame:
16 Weeks
Reported as:
Number · percentage of participants
Percentage of Participants Achieving EASI50
percentage of participantsPlacebo1mg Baricitinib2mg Bariciitnib4mg Baricitinib
Percentage of Participants Achieving EASI5012.318.427.629.3
Statistical analysis
  • Placebo vs 1mg Baricitinib · Regression, Logistic · p = 0.094 · Odds ratio (or): 1.67 · 95% CI 0.92 to 3.04
  • Placebo vs 2mg Bariciitnib · Regression, Logistic · p = <0.001 · Odds ratio (or): 2.91 · 95% CI 1.65 to 5.11
  • Placebo vs 4mg Baricitinib · Regression, Logistic · p = <0.001 · Odds ratio (or): 3.15 · 95% CI 1.80 to 5.51
SecondaryPercentage of Participants Achieving IGA of 0

The IGA measures the investigator's global assessment of the participants 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 participantsPlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Percentage of Participants Achieving IGA of 01.62.44.14.1
Statistical analysis
  • Placebo vs 1mg Baricitinib · Regression, Logistic · p = 0.528 · Odds ratio (or): 1.57 · 95% CI 0.39 to 6.31
  • Placebo vs 2mg Baricitinib · Regression, Logistic · p = 0.142 · Odds ratio (or): 2.56 · 95% CI 0.73 to 8.95
  • Placebo vs 4mg Baricitinib · Regression, Logistic · p = 0.123 · Odds ratio (or): 2.68 · 95% CI 0.77 to 9.37
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 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. LSMeans was calculated using MMRM model with treatment, region, baseline disease severity (IGA), visit, \& treatment-by-visit-interaction as fixed categorical effects. 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 scalePlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Change From Baseline in SCORAD-13.35 ± 2.31-20.23 ± 2.84-27.83 ± 2.62-27.50 ± 2.41
Statistical analysis
  • Placebo vs 1mg Baricitinib · Mixed Models Analysis · p = 0.059 · Lsmean difference: -6.88 · 95% CI -14.03 to 0.28
  • Placebo vs 2mg Baricitinib · Mixed Models Analysis · p = <0.001 · Lsmean difference: -14.48 · 95% CI -21.32 to -7.63
  • Placebo vs 4mg Baricitinib · Mixed Models Analysis · p = <0.001 · Lsmean difference: -14.15 · 95% CI -20.69 to -7.61
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 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 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 participantsPlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Percentage of Participants Achieving SCORAD901.23.24.14.9
Statistical analysis
  • Placebo vs 1mg Baricitinib · Regression, Logistic · p = 0.193 · Odds ratio (or): 2.55 · 95% CI 0.62 to 10.45
  • Placebo vs 2mg Baricitinib · Mixed Models Analysis · p = 0.042 · Odds ratio (or): 4.10 · 95% CI 1.05 to 16.03
  • Placebo vs 4mg Baricitinib · Regression, Logistic · p = 0.044 · Odds ratio (or): 3.89 · 95% CI 1.04 to 14.57
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. LSMean 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:
Median · unit on a scale
Change From Baseline in Body Surface Area (BSA) Affected
unit on a scalePlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Change From Baseline in Body Surface Area (BSA) Affected12.82 ± 2.07-18.98 ± 2.53-22.12 ± 2.37-23.98 ± 2.17
Statistical analysis
  • Placebo vs 1mg Baricitinib · Mixed Models Analysis · p = 0.058 · Lsmean difference: -6.16 · 95% CI -12.53 to 0.21
  • Placebo vs 2mg Baricitinib · Mixed Models Analysis · p = 0.003 · Lsmean difference: -9.30 · 95% CI -15.42 to -3.18
  • Placebo vs 4mg Baricitinib · Mixed Models Analysis · p = <0.001 · Lsmean difference: -11.16 · 95% CI -17.03 to -5.30
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 participantsPlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Percentage of Participants Developing Skin Infections Requiring Antibiotic Treatment7.84.87.34.9
Statistical analysis
  • Placebo vs 1mg Baricitinib · Fisher Exact · p = 0.189
  • Placebo vs 2mg Baricitinib · Fisher Exact · p = 1
  • Placebo vs 4mg Baricitinib · Fisher Exact · p = 0.383
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. LSMean were calculated using MMRM model with treatment, region, baseline disease severity (IGA), visit, \& treatment-by-visit-interaction as fixed categorical effects. 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 ChangePlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Percent Change From Baseline in Itch NRS-16.58 ± 5.45-31.39 ± 6.6147.24 ± 6.1046.87 ± 5.43
Statistical analysis
  • Placebo vs 1mg Baricitinib · Mixed Models Analysis · p = 0.081 · Lsmean difference: -14.80 · 95% CI -31.45 to 1.85
  • Placebo vs 2mg Baricitinib · Mixed Models Analysis · p = <0.001 · Lsmean difference: -30.66 · 95% CI -46.62 to -14.70
  • Placebo vs 4mg Baricitinib · Mixed Models Analysis · p = <0.001 · Lsmean difference: -30.28 · 95% CI -45.29 to -15.27
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. LSMean were calculated using MMRM model with treatment, region, baseline disease severity (IGA), visit, \& treatment-by-visit-interaction as fixed categorical effects. 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 scalePlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Change From Baseline in the Total Score of the Patient Oriented Eczema Measure (POEM)-1.48 ± 0.84-3.85 ± 1.04-7.06 ± 0.96-7.56 ± 0.88
Statistical analysis
  • Placebo vs 1mg Baricitinib · Mixed Models Analysis · p = 0.075 · Lsmean difference: -2.36 · 95% CI -4.97 to 0.24
  • Placebo vs 2mg Baricitinib · Mixed Models Analysis · p = <0.001 · Lsmean difference: -5.58 · 95% CI -8.07 to -3.08
  • Placebo vs 4mg Baricitinib · Mixed Models Analysis · p = <0.001 · Lsmean difference: -6.07 · 95% CI -8.47 to -3.68
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, ie, "(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 scalePlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Change From Baseline in the Patient Global Impression of Severity-Atopic Dermatitis (PGI-S-AD) Score-0.27 ± 0.11-0.53 ± 0.14-0.88 ± 0.13-0.96 ± 0.12
Statistical analysis
  • Placebo vs 1mg Baricitinib · Mixed Models Analysis · p = 0.130 · Lsmean difference: -0.27 · 95% CI -0.61 to 0.08
  • Placebo vs 2mg Baricitinib · Mixed Models Analysis · p = <0.001 · Lsmean difference: -0.61 · 95% CI -0.94 to -0.28
  • Placebo vs 4mg Baricitinib · Mixed Models Analysis · p = <0.001 · Lsmean difference: -0.69 · 95% CI -1.00 to -0.38
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 items 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. LSMean were calculated using MMRM model with treatment, region, baseline disease severity (IGA), visit, \& treatment-by-visit-interaction as fixed categorical effects. 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 scalePlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Anxiety-0.99 ± 0.33-1.93 ± 0.40-1.92 ± 0.38-2.30 ± 0.35
Depression-0.28 ± 0.32-0.78 ± 0.40-0.99 ± 0.37-1.46 ± 0.35
Statistical analysis
  • Placebo vs 1mg Baricitinib · Mixed Models Analysis · p = 0.067 · Lsmean difference: -0.94 · 95% CI -1.95 to 0.07
  • Placebo vs 2mg Baricitinib · Mixed Models Analysis · p = 0.060 · Lsmean difference: -0.93 · 95% CI -1.89 to 0.04
  • Placebo vs 4mg Baricitinib · Mixed Models Analysis · p = 0.006 · Lsmean difference: -1.30 · 95% CI -2.23 to -0.38
  • Placebo vs 1mg Baricitinib · Mixed Models Analysis · p = 0.321 · Lsmean difference: -0.50 · 95% CI -1.50 to 0.49
  • Placebo vs 2mg Baricitinib · Mixed Models Analysis · p = 0.143 · Lsmean difference: -0.71 · 95% CI -1.67 to 0.24
  • Placebo vs 4mg Baricitinib · Mixed Models Analysis · p = 0.012 · Lsmean difference: -1.18 · 95% CI -2.11 to -0.26
SecondaryChange From Baseline on the Dermatology Life Quality Index (DLQI)

The DLQI is a simple, participant-administered, 10 question, validated, quality-of-life questionnaire that covers 6 domains: 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 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. LSMean were calculated using MMRM model with treatment, region, baseline disease severity (IGA), visit, \& treatment-by-visit-interaction as fixed categorical effects. 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 Dermatology Life Quality Index (DLQI)
units on a scalePlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Change From Baseline on the Dermatology Life Quality Index (DLQI)-3.35 ± 0.62-5.11 ± 0.76-7.44 ± 0.71-7.56 ± 0.66
Statistical analysis
  • Placebo vs 1mg Baricitinib · Mixed Models Analysis · p = 0.071 · Lsmean difference: -1.76 · 95% CI -3.67 to 0.15
  • Placebo vs 2mg Baricitinib · Mixed Models Analysis · p = <0.001 · Lsmean difference: -4.09 · 95% CI -5.92 to -2.26
  • Placebo vs 4mg Baricitinib · Mixed Models Analysis · p = <0.001 · Lsmean difference: -4.22 · 95% CI -5.98 to -2.45
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. LSMean were calculated using MMRM model with treatment, region, baseline disease severity (IGA), visit, \& treatment-by-visit-interaction as fixed categorical effects. 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 scalePlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Absenteeism-4.40 ± 3.45-5.31 ± 3.91-3.39 ± 3.680.76 ± 3.08
Presentisms-6.15 ± 3.87-9.27 ± 4.08-19.71 ± 3.90-19.28 ± 3.37
Work Productivity Loss-7.15 ± 4.65-8.96 ± 4.86-16.63 ± 4.65-16.28 ± 3.96
Activities Impairment-8.94 ± 2.74-11.21 ± 3.34-23.25 ± 3.12-23.41 ± 2.82
Statistical analysis
  • Placebo vs 1mg Baricitinib · Mixed Models Analysis · p = 0.861 · Lsmean difference: -0.91 · 95% CI -11.16 to 9.34
  • Placebo vs 2mg Baricitinib · Mixed Models Analysis · p = 0.841 (Absenteeism) · Lsmean difference: 1.01 · 95% CI -8.94 to 10.97
  • Placebo vs 4mg Baricitinib · Mixed Models Analysis · p = 0.264 · Lsmean difference: 5.16 · 95% CI -3.95 to 14.26
  • Placebo vs 1mg Baricitinib · Mixed Models Analysis · p = 0.580 · Lsmean difference: -3.12 · 95% CI -14.26 to 8.02
  • Placebo vs 2mg Baricitinib · Mixed Models Analysis · p = 0.015 · Lsmean difference: -13.56 · 95% CI -24.45 to -2.86
  • Placebo vs 4mg Baricitinib · Mixed Models Analysis · p = 0.011 · Lsmean difference: -13.13 · 95% CI -23.20 to -3.06
  • Placebo vs 1mg Baricitinib · Mixed Models Analysis · p = 0.788 · Lsmean difference: -1.81 · 95% CI -15.12 to 11.49
  • Placebo vs 2mg Baricitinib · Mixed Models Analysis · p = 0.152 · Lsmean difference: -9.48 · 95% CI -22.51 to 3.55
  • Placebo vs 4mg Baricitinib · Mixed Models Analysis · p = 0.135 · Lsmean difference: -9.13 · 95% CI -21.17 to 2.90
  • Placebo vs 1mg Baricitinib · Mixed Models Analysis · p = 0.595 · Lsmean difference: -2.26 · 95% CI -10.65 to 6.12
  • Placebo vs 2mg Baricitinib · Mixed Models Analysis · p = <0.001 · Lsmean difference: -14.30 · 95% CI -22.43 to -6.17
  • Placebo vs 4mg Baricitinib · Mixed Models Analysis · p = <0.001 · Lsmean difference: -14.47 · 95% CI -22.11 to -6.83
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. A higher score indicates better health state. LSMean were calculated using MMRM model with treatment, region, baseline disease severity (IGA), visit, \& treatment-by-visit-interaction as fixed categorical effects. 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 scalePlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Health State Index Score (US Algorithm)0.02 ± 0.020.05 ± 0.020.10 ± 0.020.10 ± 0.02
Health State Index Score (UK Algorithm)0.03 ± 0.020.06 ± 0.030.14 ± 0.020.14 ± 0.02
Statistical analysis
  • Placebo vs 1mg Baricitinib · Mixed Models Analysis · p = 0.295 · Lsmean difference: 0.02 · 95% CI -0.02 to 0.07
  • Placebo vs 2mg Baricitinib · Mixed Models Analysis · p = 0.001 · Lsmean difference: 0.08 · 95% CI 0.03 to 0.12
  • Placebo vs 4mg Baricitinib · Mixed Models Analysis · p = <0.001 · Lsmean difference: 0.08 · 95% CI 0.03 to 0.12
  • Placebo vs 1mg Baricitinib · Mixed Models Analysis · p = 0.334 · Lsmean difference: 0.03 · 95% CI -0.03 to 0.10
  • Placebo vs 2mg Baricitinib · Mixed Models Analysis · p = 0.001 · Lsmean difference: 0.11 · 95% CI 0.04 to 0.17
  • Placebo vs 4mg Baricitinib · Mixed Models Analysis · p = <0.001 · Lsmean difference: 0.11 · 95% CI 0.05 to 0.17
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. LSMean were calculated using MMRM model with treatment, region, baseline disease severity (IGA), visit, \& treatment-by-visit-interaction as fixed categorical effects. Baseline and baseline-by-visit-interaction as fixed continuous effects.

Time frame:
Baseline, 16 Weeks
Reported as:
Least squares mean · Millimeter (mm)
Change From Baseline on the European Quality of Life-5 Dimensions 5 Levels (EQ-5D-5L) Visual Analog Score (VAS)
Millimeter (mm)Placebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Change From Baseline on the European Quality of Life-5 Dimensions 5 Levels (EQ-5D-5L) Visual Analog Score (VAS)2.34 ± 2.222.75 ± 2.7110.54 ± 2.5311.16 ± 2.30
Statistical analysis
  • Placebo vs 1mg Baricitinib · Mixed Models Analysis · p = 0.907 · Lsmean difference: 0.40 · 95% CI -6.44 to 7.25
  • Placebo vs 2mg Baricitinib · Mixed Models Analysis · p = 0.015 · Lsmean difference: 8.19 · 95% CI 1.63 to 14.76
  • Placebo vs 4mg Baricitinib · Mixed Models Analysis · p = 0.006 · Lsmean difference: 8.82 · 95% CI 2.62 to 15.01
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 participants 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 participantsPlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Percentage of Participants Achieving Investigator's Global Assessment (IGA) of 0 or 1 With a ≥ 2 Point Improvement3.73.28.115.4
Statistical analysis
  • Placebo vs 1mg Baricitinib · Regression, Logistic · p = 0.905 · Odds ratio (or): 0.93 · 95% CI 0.30 to 2.93
  • Placebo vs 2mg Baricitinib · Regression, Logistic · p = 0.064 · Odds ratio (or): 2.37 · 95% CI 0.95 to 5.92
  • Placebo vs 4mg Baricitinib · Regression, Logistic · p = <0.001 · Odds ratio (or): 5.14 · 95% CI 2.25 to 11.74

Adverse events

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

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/244 (0%)9/244 (3.7%)34/244 (13.9%)
1mg Baricitinib0/124 (0%)9/124 (7.3%)23/124 (18.5%)
2mg Baricitinib0/123 (0%)3/123 (2.4%)27/123 (22%)
4mg Baricitinib0/123 (0%)1/123 (0.8%)29/123 (23.6%)
Most frequent serious events
Showing 10 of 17
Most frequent serious events
EventPlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
Eczema herpeticumInfections and infestations2/2442/1240/1230/123
Dermatitis atopicSkin and subcutaneous tissue disorders3/2441/1241/1230/123
TonsillitisInfections and infestations0/2440/1240/1231/123
DepressionPsychiatric disorders0/2440/1241/1230/123
Panic attackPsychiatric disorders0/2440/1241/1230/123
LymphadenopathyBlood and lymphatic system disorders0/2441/1240/1230/123
CataractEye disorders0/2441/1240/1230/123
DiverticulumGastrointestinal disorders0/2441/1240/1230/123
Encephalitis viralInfections and infestations0/2441/1240/1230/123
PeritonsillitisInfections and infestations0/2441/1240/1230/123
Most frequent other events
Most frequent other events
EventPlacebo1mg Baricitinib2mg Baricitinib4mg Baricitinib
NasopharyngitisInfections and infestations30/24413/12416/12310/123
HeadacheNervous system disorders5/2446/1249/12311/123
Herpes simplexInfections and infestations2/2442/1247/1233/123
Blood creatine phosphokinase increasedInvestigations1/2444/1241/1237/123

Baseline characteristics

All randomized participants.

Age, Categorical
Age, Categorical(Participants)Placebo1mg Baricitinib2mg Baricitinib4mg BaricitinibTotal
<=18 years00000
Between 18 and 65 years235124118119596
>=65 years915419
Sex: Female, Male
Sex: Female, Male(Participants)Placebo1mg Baricitinib2mg Baricitinib4mg BaricitinibTotal
Female90455841234
Male154806582381
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Placebo1mg Baricitinib2mg Baricitinib4mg BaricitinibTotal
American Indian or Alaska Native00000
Asian72363738183
Native Hawaiian or Other Pacific Islander01001
Black or African American00000
White169858582421
More than one race331310
Unknown or Not Reported00000
Region of Enrollment
Region of Enrollment(Participants)Placebo1mg Baricitinib2mg Baricitinib4mg BaricitinibTotal
Argentina2814131267
South Korea241111955
Austria1374731
Hungary231011852
Japan45222223112
Poland41272129118
Israel1276934
Australia2414151467
Switzerland1355225
Spain218151054
08

Study locations

80 sites
  • CENIT Centro de Neurociencias, Investigación y Tratamiento
    Caba, Buenos Aires C1125ABD, Argentina
  • Centro de Investigaciones Metabólicas (CINME)
    Ciudad Autonoma de Buenos Aire, Buenos Aires C1056ABJ, Argentina
  • Clinica Adventista de Belgrano
    Ciudad de Buenos Aires, Buenos Aires C1430EGF, Argentina
  • Fundacion CIDEA
    Buenos Aires, C1121ABE, Argentina
  • Instituto de Neumonología y Dermatología
    Buenos Aires, C1425BEA, Argentina
  • Psoriahue Medicina Interdisciplinaria
    Buenos Aires, C1425DKG, Argentina
  • Buenos Aires Skin
    Ciudad Autonoma Buenos Aires, C1055AA0, Argentina
  • Parra Dermatología
    Mendoza, 5500, Argentina
  • Woden Dermatology
    Phillip, Australian Capital Territory 2606, Australia
  • Skin & Cancer Foundation Australia
    Westmead, New South Wales 2145, Australia
  • Veracity Clinical Research Pty Ltd
    Woolloongabba, Queensland 4102, Australia
  • Clinical Trials SA Pty Ltd
    Adelaide, South Australia 5073, Australia
  • Skin and Cancer Foundation Inc.
    Carlton, Victoria 3053, Australia
  • Fremantle Dermatology
    Perth, Western Australia 6160, Australia
  • Ordensklinikum Linz GmbH - Elisabethinen
    Linz, Oberösterreich 4020, Austria
  • KA Rudolfstiftung
    Wien, 1030, Austria
  • AKH
    Wien, 1090, Austria
  • KH Hietzing mit neurologischem Zentrum Rosenhügel
    Wien, 1130, Austria
  • Sozialmed. Zentrum Ost - Donauspital
    Wien, 1220, Austria
  • SZTE AOK Borgyogyaszati es Allergologiai Klinika
    Szeged, Csongrad 6720, Hungary
  • Debreceni Egyetem Klinikai Kozpont Borgyogyaszati Klinika
    Debrecen, Hajdu-Bihar 4032, Hungary
  • Trial Pharma Kft.
    Puspokladany, Hajdu-Bihar 4150, Hungary
  • Allergo-Derm Bakos Kft
    Szolnok, Jasz-Nagykun-Szolnok 5000, Hungary
  • UNO Medical Trials Kft.
    Budapest, 1135, Hungary
  • Kaposi Mor Oktato Korhaz
    Kaposvar, 7400, Hungary
  • Oroshaza Varosi Onkormanyzat Korhaza
    Oroshaza, 5901, Hungary
  • Markusovszky Korhaz
    Szombathely, H-9700, Hungary
  • MedMare Bt
    Veszprem, 8200, Hungary
  • Haemek Medical Center- Dermatology
    Afula, 1834111, Israel
  • Rambam Medical Center
    Haifa, 3525408, Israel
  • Hadassah Medical Center - Ein Karem
    Jerusalem, 91220, Israel
  • Rabin Medical Center
    Petach Tikva, 4941492, Israel
  • Sheba Medical Center
    Ramat Gan, 5265601, Israel
  • Tel Aviv Sourasky Medical Center
    Tel Aviv, 6423906, Israel
  • Yanagihara dermatology clinic
    Ainokawa, Ichikawa-shi, Chiba 272-0143, Japan
  • Kurume University Hospital
    Kurume, Fukuoka 830 0011, Japan
  • Sapporo Skin Clinic
    Sapporo, Hokkaido 060-0063, Japan
  • Tokyo Medical University Ibaraki Medical Center
    Inashiki-gun, Ibaraki 300-0395, Japan
  • Nomura Dermatology Clinic
    Yokohama-shi, Kanagawa 221-0825, Japan
  • Noguchi Dermatology
    Kashima-machi, Kamimashiki-gun, Kumamoto 861-3101, Japan
  • Osaka Habikino Medical Center
    Habikino, Osaka 583-8588, Japan
  • Yoshioka Dermatology Clinic
    Neyagawa-shi, Osaka 572-0838, Japan
  • Sanrui Dermatology Clinic
    Ohmiya-ku,Saitama-shi, Saitama 330-0854, Japan
  • Jichi Medical University Hospital
    Shimotsuke, Tochigi 329-0498, Japan
  • Tokyo Teishin Hospital
    Chiyoda-Ku, Tokyo 102-8798, Japan
  • Naoko Dermatology Clinic
    Setagaya-ku, Tokyo 158-0097, Japan
  • Yamate Dermatological Clinic
    Shinjuku, Tokyo 169-0075, Japan
  • Tachikawa Dermatology Clinic
    Tachikawa-shi, Tokyo 190-0023, Japan
  • Gifu University Hospital
    Gifu, 501-1194, Japan
  • Osaka City University Hospital
    Osaka, 545-8586, Japan
  • Ajou University Hospital
    Suwon, Gyeonggi Do 16499, Korea, Republic of
  • Gachon University Gil Medical Center
    Incheon, Korea 21565, Korea, Republic of
  • Severance Hospital Yonsei University Health System
    Seoul, 03722, Korea, Republic of
  • Konkuk University Hospital
    Seoul, 05030, Korea, Republic of
  • Seoul St. Mary's Hospital
    Seoul, 06591, Korea, Republic of
  • Chungang University Hospital
    Seoul, 06973, Korea, Republic of
  • Hallym University of Medicine
    Seoul, 07441, Korea, Republic of
  • NZOZ Specjalistyczna Przychodnia Dermatologiczna Specderm
    Bialystok, 15-375, Poland
  • Centrum Badan Klinicznych, PI House
    Gdansk, 80-546, Poland
  • Centrum Medyczne Angelius Provita
    Katowice, 40-611, Poland
  • Barbara Rewerska DIAMOND CLINIC
    Krakow, 31-209, Poland
  • "Dermed" Centrum Medyczne Sp. z o.o.
    Lodz, 90-265, Poland
  • Miejski Szpital Zespolony w Olsztynie
    Olsztyn, 10-229, Poland
  • DermoDent, Centrum Medyczne Czajkowscy
    Osielsko, 86-031, Poland
  • LASER CLINIC S.C. Dr Tomasz Kochanowski, Dr Andrzej Krolicki
    Szczecin, 70-332, Poland
  • Wojskowy Instytut Medyczny
    Warsaw, 04-141, Poland
  • Centralny Szpital Kliniczny MSW
    Warszawa, 02-507, Poland
  • Hospital Germans Trias i Pujol
    Barcelona, Badalona 08916, Spain
  • Hospital De Fuenlabrada
    Fuenlabrada, Madrid 28942, Spain
  • Hospital Universitario Rey Juan Carlos
    Mostoles, Madrid 28933, Spain
  • Clinica Universitaria De Navarra
    Pamplona, Navarra 31008, Spain
  • Hospital General Universitario Alicante
    Alicante, 03010, Spain
  • Hospital Infanta Leonor
    Madrid, 28031, Spain
  • Hospital Universitario 12 de Octubre
    Madrid, 28041, Spain
  • Hospital Universitario La Paz
    Madrid, 28046, Spain
  • Centro de Especialidades Mollabao
    Pontevedra, 36001, Spain
  • CHUV Centre Hospitalier Universitaire Vaudois
    Lausanne, Vaud 1011, Switzerland
  • Inselspital Bern
    Bern, 3010, Switzerland
  • HUG-Hôpitaux Universitaires de Genève
    Genève, 1205, Switzerland
  • Universitätsspital Zürich
    Zürich, 8091, Switzerland
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 ↗
  • Buhl T, Rosmarin D, Serra-Baldrich E, Fernandez-Penas P, Igarashi A, Konstantinou MP, Chen S, Lu N, Pierce E, Casillas M. Itch and Sleep Improvements with Baricitinib in Patients with Atopic Dermatitis: A Post Hoc Analysis of 3 Phase 3 Studies. Dermatol Ther (Heidelb). 2021 Jun;11(3):971-982. doi: 10.1007/s13555-021-00534-8. Epub 2021 Apr 25. PubMed 33899152 ↗
  • 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 27, 2017
Primary completionActual
Dec 12, 2018
CompletionActual
Dec 12, 2018
Results first posted
Jan 22, 2020
Last update
Jan 22, 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 Jan 22, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03334422
Collaborators
Incyte Corporation
Responsible party
Sponsor
First posted
Nov 7, 2017
Start date
Nov 27, 2017
Primary completion
Dec 12, 2018
Completion
Dec 12, 2018
Results posted
Jan 22, 2020
Last update
Jan 22, 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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