A Phase 2 interventional study of ASN008 and ASN008 Matching Vehicle in Dermatitis, Atopic and Pruritus, sponsored by TrialSpark. Completed at 27 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-05-16.
Sponsored by TrialSpark · Phase 2, Interventional, and Treatment
The goal of this clinical trial is to evaluate ASN008 in people with itch caused by eczema. The main questions it aims to answer are:
Researchers will compare 3 different doses of ASN008 and a matching vehicle group to see which group responds best.
All participants will sign an informed consent form and undergo screening (within 28 days prior to Day 1). During the screening period, all treatments for Atopic Dermatitis (AD) (also known as eczema) and/or itch will be stopped to allow for wash out, as applicable and according to eligibility requirements. Consistent daily or twice daily use of a non-prescription emollient is required at least 7 days prior to Day 1 and throughout the trial until the follow-up (Week 8). No other products, including, but not limited to, topical corticosteroids, calcineurin inhibitors, biologics, or Janus Kinase (JAK) inhibitors (topical or oral) may be used during the trial.
Eligible participants will be randomized in a 1:1:1:1 ratio to receive ASN008 gel 1.25 percent, ASN008 gel 2.5 percent, ASN008 gel 5.0 percent, or matching vehicle twice daily for 4 weeks (28 days), followed by a 4-week (28-day) follow-up period. The first dose of study treatment will be applied on Day 1 and the last dose will be applied on the morning of Day 28.
Participants will be required to participate in 8 scheduled visits: Screening; Randomization (remote visit); Day 1; Week 1 (Day 8); Week 2 (Day 15); Week 3 (Day 22); Week 4 (Day 28); and Week 8 (Day 56)/early termination (ET).
The trial duration per participant is up to 12 weeks (84 days): including up to 4 weeks (28 days) for the screening period, 4 weeks (28 days) for the treatment period, and up to 4 weeks (28 days) for the follow-up period.
A participant is considered to have reached the end of the trial when they have completed their Day 56 (Week 8) or ET visit. The trial will be considered complete when the last participant has completed their last trial visit.
1,419 studies on the registry are indexed under Dermatitis, Atopic; 258 are open to participants now.
This study's enrollment of 144 is above the median of 83 across 1,125 interventional studies indexed under Dermatitis, Atopic.
Browse Dermatitis, Atopic studies →This is the only study on the registry with TrialSpark as lead sponsor.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Use of any of the following treatments within the indicated washout period before Day 1:
ASN008 1.25% twice daily topical application applied as a thin layer (approximately 2 mg/cm\^2) for 4 weeks (28 days)
Drug: ASN008
ASN008 2.5% twice daily topical application applied as a thin layer (approximately 2 mg/cm\^2) for 4 weeks (28 days)
Drug: ASN008
ASN008 5% twice daily topical application applied as a thin layer (approximately 2 mg/cm\^2) for 4 weeks (28 days)
Drug: ASN008
ASN008 matching vehicle twice daily topical application applied as a thin layer (approximately 2 mg/cm\^2) for 4 weeks (28 days)
Other: ASN008 Matching Vehicle
ASN008 topical gel applied twice daily.
The ASN008 matching vehicle formulation matches the formulation of each ASN008 topical gel dose, but contains no ASN008.
Daily Peak Pruritus Numerical Rating Scale (NRS)
Percent change of 7-day average daily peak pruritus NRS from Baseline to Week 4
Time frame: Baseline to Week 4
Pruritus Response of ASN008 Topical Gel on Atopic Dermatitis (AD) Assessed by Daily Peak Pruritus NRS
Pruritus response defined as 7-day average of daily peak pruritus NRS reduction greater than or equal to 4 points from Baseline to Week 4
Time frame: Baseline to Week 4
Mean Change From Baseline in Eczema Area and Severity Index (EASI) Score
This outcome measure evaluates the change and percent change in the Eczema Area and Severity Index (EASI) score from Baseline to Week 4. The EASI score measures the extent and severity of eczema across four body regions: head/neck, trunk, upper limbs, and lower limbs. Two components are assessed: severity of erythema, edema/papulation, excoriation, and lichenification (each scored 0 to 3, with 0 = none and 3 = severe) and the surface area affected (scored 0 to 6, with 0 = no involvement and 6 = 90%-100% involvement). Subscale scores are combined using weighted multipliers for each region (head/neck 0.1, upper limbs 0.2, trunk 0.3, lower limbs 0.4) to calculate the total score. The EASI is a composite score ranging from 0 (no eczema) to 72 (maximum severity and extent). Scores are summed to account for the severity of lesions and the percentage of body surface area (BSA) affected in each region.
Time frame: Baseline to Week 4
Mean Change From Baseline in Total Body Surface Area (BSA)
Change from Baseline in total BSA at week 4.
Time frame: Baseline to Week 4
Mean Change From Baseline in the Patient-Oriented Eczema Measure (POEM)
This outcome measure evaluates the change in the the Patient-Oriented Eczema Measure (POEM) score from Baseline to Week 4.The POEM is a self-assessment tool that evaluates eczema severity based on patient-reported symptoms over the previous week. It includes 7 questions addressing common symptoms: itch, sleep disturbance, bleeding, weeping, cracking, flaking, and dryness. Each question is scored on a scale from 0 to 4 based on frequency (0 = no days, 1 = 1-2 days, 2 = 3-4 days, 3 = 5-6 days, 4 = every day). The scores are summed to generate a total score ranging from 0 to 28. Scores are interpreted as follows: 0-2 = clear or almost clear, 3-7 = mild eczema, 8-16 = moderate eczema, 17-24 = severe eczema, and 25-28 = very severe eczema. Higher scores indicate a greater symptom burden and worse disease severity.
Time frame: Baseline to Week 4
Inter- and Intra-subject Variability of ASN008 Pharmacokinetics (PK) Characterized by Peak Plasma Concentration (Cmax)
ASN008 PK will be characterized using population-based methods to include Peak Plasma Concentration (Cmax).
Time frame: Baseline and Week 4
Inter- and Intra-subject Variability of ASN008 Pharmacokinetics Characterized by Area Under the Plasma Concentration Versus Time Curve (AUC)
ASN008 PK will be characterized using population-based methods to include area under the plasma concentration versus time curve (AUC)
Time frame: Baseline and Week 4
Number of Treatment Emergent Adverse Events (TEAEs)
Number of participants who experienced a TEAE.
Time frame: Baseline to Day 56
Number of Investigational Product (IP)-Related TEAEs
Number of participants who experienced an IP-related TEAE.
Time frame: Baseline to Day 56
Incidence of TEAEs Leading to Treatment Discontinuation
Incidence of TEAEs leading to treatment discontinuation from first dose through completion of follow-up period (up to a maximum of 56 days)
Time frame: Baseline to Day 56
| Milestone | ASN008 1.25% | ASN008 2.5% | ASN008 5% | ASN008 Matching Vehicle |
|---|---|---|---|---|
| Started | 36 | 36 | 36 | 36 |
| Completed | 34 | 32 | 32 | 33 |
| Not completed | 2 | 4 | 4 | 3 |
| Withdrew: Did not receive study treatment | 2 | 4 | 4 | 3 |
| Milestone | ASN008 1.25% | ASN008 2.5% | ASN008 5% | ASN008 Matching Vehicle |
|---|---|---|---|---|
| Started | 34 | 32 | 32 | 33 |
| Completed | 33 | 29 | 28 | 30 |
| Not completed | 1 | 3 | 4 | 3 |
| Withdrew: Adverse event | 1 | 1 | 1 | 1 |
| Withdrew: Lost to follow-up | 0 | 1 | 2 | 0 |
| Withdrew: Protocol violation | 0 | 0 | 0 | 1 |
| Withdrew: Withdrawal by subject | 0 | 1 | 1 | 1 |
Percent change of 7-day average daily peak pruritus NRS from Baseline to Week 4
| percent change | ASN008 1.25% | ASN008 2.5% | ASN008 5% | ASN008 Matching Vehicle |
|---|---|---|---|---|
| Daily Peak Pruritus Numerical Rating Scale (NRS) | -45.6 ± 5.04 | -55.8 ± 5.13 | -48.3 ± 5.2 | -49.9 ± 4.99 |
Pruritus response defined as 7-day average of daily peak pruritus NRS reduction greater than or equal to 4 points from Baseline to Week 4
| Participants | ASN008 1.25% | ASN008 2.5% | ASN008 5% | ASN008 Matching Vehicle |
|---|---|---|---|---|
| Pruritus Response of ASN008 Topical Gel on Atopic Dermatitis (AD) Assessed by Daily Peak Pruritus NRS | 12 | 22 | 15 | 15 |
This outcome measure evaluates the change and percent change in the Eczema Area and Severity Index (EASI) score from Baseline to Week 4. The EASI score measures the extent and severity of eczema across four body regions: head/neck, trunk, upper limbs, and lower limbs. Two components are assessed: severity of erythema, edema/papulation, excoriation, and lichenification (each scored 0 to 3, with 0 = none and 3 = severe) and the surface area affected (scored 0 to 6, with 0 = no involvement and 6 = 90%-100% involvement). Subscale scores are combined using weighted multipliers for each region (head/neck 0.1, upper limbs 0.2, trunk 0.3, lower limbs 0.4) to calculate the total score. The EASI is a composite score ranging from 0 (no eczema) to 72 (maximum severity and extent). Scores are summed to account for the severity of lesions and the percentage of body surface area (BSA) affected in each region.
| score on a scale | ASN008 1.25% | ASN008 2.5% | ASN008 5% | ASN008 Matching Vehicle |
|---|---|---|---|---|
| Mean Change From Baseline in Eczema Area and Severity Index (EASI) Score | -2.7 ± 0.40 | -3.5 ± 0.43 | -2.6 ± 0.45 | -3.4 ± 0.41 |
Change from Baseline in total BSA at week 4.
| Percentage | ASN008 1.25% | ASN008 2.5% | ASN008 5% | ASN008 Matching Vehicle |
|---|---|---|---|---|
| Mean Change From Baseline in Total Body Surface Area (BSA) | -2.6 ± 0.56 | -2.9 ± 0.59 | -1.5 ± 0.60 | -2.4 ± 0.56 |
This outcome measure evaluates the change in the the Patient-Oriented Eczema Measure (POEM) score from Baseline to Week 4.The POEM is a self-assessment tool that evaluates eczema severity based on patient-reported symptoms over the previous week. It includes 7 questions addressing common symptoms: itch, sleep disturbance, bleeding, weeping, cracking, flaking, and dryness. Each question is scored on a scale from 0 to 4 based on frequency (0 = no days, 1 = 1-2 days, 2 = 3-4 days, 3 = 5-6 days, 4 = every day). The scores are summed to generate a total score ranging from 0 to 28. Scores are interpreted as follows: 0-2 = clear or almost clear, 3-7 = mild eczema, 8-16 = moderate eczema, 17-24 = severe eczema, and 25-28 = very severe eczema. Higher scores indicate a greater symptom burden and worse disease severity.
| score on a scale | ASN008 1.25% | ASN008 2.5% | ASN008 5% | ASN008 Matching Vehicle |
|---|---|---|---|---|
| Mean Change From Baseline in the Patient-Oriented Eczema Measure (POEM) | -5.0 ± 1.04 | -7.8 ± 1.08 | -6.3 ± 1.11 | -6.4 ± 1.06 |
ASN008 PK will be characterized using population-based methods to include Peak Plasma Concentration (Cmax).
Results for this outcome have not been posted.
ASN008 PK will be characterized using population-based methods to include area under the plasma concentration versus time curve (AUC)
Results for this outcome have not been posted.
Number of participants who experienced a TEAE.
| Participants | ASN008 1.25% | ASN008 2.5% | ASN008 5% | ASN008 Matching Vehicle |
|---|---|---|---|---|
| Number of Treatment Emergent Adverse Events (TEAEs) | 12 | 14 | 11 | 8 |
Number of participants who experienced an IP-related TEAE.
| Participants | ASN008 1.25% | ASN008 2.5% | ASN008 5% | ASN008 Matching Vehicle |
|---|---|---|---|---|
| Number of Investigational Product (IP)-Related TEAEs | 1 | 3 | 3 | 1 |
Incidence of TEAEs leading to treatment discontinuation from first dose through completion of follow-up period (up to a maximum of 56 days)
| Participants | ASN008 1.25% | ASN008 2.5% | ASN008 5% | ASN008 Matching Vehicle |
|---|---|---|---|---|
| Incidence of TEAEs Leading to Treatment Discontinuation | 1 | 1 | 1 | 1 |
Collected over Adverse event data were collected beginning after participant enrollment, before treatment, during treatment, and up to 28 days following the cessation of treatment, up to Day 56/Week 8.. Non-serious events are listed at a 1% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| ASN008 1.25% | 0/34 (0%) | 0/34 (0%) | 12/34 (35.3%) |
| ASN008 2.5% | 0/32 (0%) | 0/32 (0%) | 14/32 (43.8%) |
| ASN008 5% | 0/32 (0%) | 0/32 (0%) | 13/32 (40.6%) |
| ASN008 Matching Vehicle | 0/33 (0%) | 0/33 (0%) | 9/33 (27.3%) |
| Event | ASN008 1.25% | ASN008 2.5% | ASN008 5% | ASN008 Matching Vehicle |
|---|---|---|---|---|
| NasopharyngitisInfections and infestations | 0/34 | 1/32 | 3/32 | 2/33 |
| HeadacheNervous system disorders | 3/34 | 3/32 | 1/32 | 0/33 |
| Protein Urine PresentInvestigations | 0/34 | 0/32 | 2/32 | 0/33 |
| Pain in ExtremityMusculoskeletal and connective tissue disorders | 0/34 | 2/32 | 0/32 | 1/33 |
| Urinary Tract InfectionInfections and infestations | 2/34 | 1/32 | 1/32 | 1/33 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 2/34 | 0/32 | 0/32 | 0/33 |
| AnaemiaBlood and lymphatic system disorders | 0/34 | 1/32 | 0/32 | 0/33 |
| GastritisGastrointestinal disorders | 0/34 | 0/32 | 1/32 | 0/33 |
| NauseaGastrointestinal disorders | 0/34 | 0/32 | 1/32 | 0/33 |
| ToothacheGastrointestinal disorders | 0/34 | 1/32 | 0/32 | 0/33 |
Modified Intent to Treat Population
| Age, Categorical(Participants) | ASN008 1.25% | ASN008 2.5% | ASN008 5% | ASN008 Matching Vehicle | Total |
|---|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 29 | 31 | 29 | 28 | 117 |
| >=65 years | 5 | 1 | 3 | 5 | 14 |
| Age, Continuous(years) | ASN008 1.25% | ASN008 2.5% | ASN008 5% | ASN008 Matching Vehicle | Total |
|---|---|---|---|---|---|
| Least squares mean | 47.7 ± 15.45 | 41.8 ± 12.54 | 43.3 ± 15.95 | 46.5 ± 16.04 | 44.9 ± 15.09 |
| Sex/Gender, Customized(Participants) | ASN008 1.25% | ASN008 2.5% | ASN008 5% | ASN008 Matching Vehicle | Total |
|---|---|---|---|---|---|
| Male | 14 | 15 | 7 | 10 | 46 |
| Female | 20 | 17 | 25 | 23 | 85 |
| Race/Ethnicity, Customized(Participants) | ASN008 1.25% | ASN008 2.5% | ASN008 5% | ASN008 Matching Vehicle | Total |
|---|---|---|---|---|---|
| Ethnicity : Hispanic or Latino | 14 | 11 | 15 | 11 | 51 |
| Ethnicity : Not Hispanic or Latino | 20 | 21 | 17 | 22 | 80 |
| Race: White | 25 | 19 | 23 | 22 | 89 |
| Race: Black or African American | 8 | 11 | 7 | 11 | 37 |
| Race: Asian | 0 | 2 | 1 | 0 | 3 |
| Race: Native Hawaiian or Other Pacific Islander | 1 | 0 | 0 | 0 | 1 |
| Race: Other | 0 | 0 | 1 | 0 | 1 |
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