Evidence map›Paper›PMID 36152216›Full record

ArticleDermatology and therapy2022

Tralokinumab Efficacy and Safety, with or without Topical Corticosteroids, in North American Adults with Moderate-to-Severe Atopic Dermatitis: A Subanalysis of Phase 3 Trials ECZTRA 1, 2, and 3.

Andrew Blauvelt, Melinda Gooderham, Neal Bhatia, Richard G Langley, Shannon Schneider, John Zoidis, Azra Kurbasic, April Armstrong, Jonathan I Silverberg

3 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Dermatology and therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03131648 phase3completednot on this map

A Randomised, Double-blind, Placebo-controlled, Phase 3 Trial to Evaluate the Efficacy and Safety of Tralokinumab Monotherapy in Subjects With Moderate to Severe Atopic Dermatitis Who Are Candidates for Systemic Therapy

TypeinterventionalSponsorLEO PharmaRan2017 to 2019Enrolled802ConditionsAtopic DermatitisArmsTralokinumab, Placebo
NCT03160885 phase3completednot on this map

A Randomised, Double-blind, Placebo-controlled, Phase 3 Trial to Evaluate the Efficacy and Safety of Tralokinumab Monotherapy in Subjects With Moderate to Severe Atopic Dermatitis Who Are Candidates for Systemic Therapy

TypeinterventionalSponsorLEO PharmaRan2017 to 2019Enrolled794ConditionsAtopic DermatitisArmsTralokinumab, Placebo
NCT03363854 phase3completednot on this map

A Randomised, Double-blind, Placebo-controlled, Phase 3 Trial to Evaluate the Efficacy and Safety of Tralokinumab in Combination With Topical Corticosteroids in Subjects With Moderate to Severe Atopic Dermatitis

TypeinterventionalSponsorLEO PharmaRan2018 to 2019Enrolled380ConditionsAtopic DermatitisArmsTralokinumab, Placebo
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 8 institutions in 3 countries.

Andrew BlauveltOregon Medical Research Center, Portland, OR, USA. ablauvelt@oregonmedicalresearch.com.ORCID http://orcid.org/0000-0002-2633-985X
Melinda GooderhamSkin Centre for Dermatology, Peterborough, ON, Canada.ORCID http://orcid.org/0000-0001-8926-0113
Neal BhatiaTherapeutics Clinical Research, San Diego, CA, USA.ORCID http://orcid.org/0000-0001-7448-7809
Richard G LangleyDalhousie University, Halifax, NS, Canada.
Shannon SchneiderLEO Pharma, Madison, NJ, USA.
John ZoidisLEO Pharma, Madison, NJ, USA.
Azra KurbasicLEO Pharma A/S, Ballerup, Denmark.ORCID http://orcid.org/0000-0002-1910-2619
April ArmstrongDepartment of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Jonathan I SilverbergThe George Washington University School of Medicine and Health Sciences, Washington, DC, USA.ORCID http://orcid.org/0000-0003-3686-7805
Leo Pharma (United States) · USDalhousie University · CAGeorge Washington University · USLeo Pharma (Denmark) · DKOregon Medical Research Center · USSKiN Health · CATherapeutics Clinical Research · USUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn pivotal phase 3 tralokinumab monotherapy (ECZTRA 1/2) and topical corticosteroid (TCS) combination (ECZTRA 3) trials in adults with moderate-to-severe atopic dermatitis (AD), tralokinumab significantly improved signs and symptoms of AD. Geographic region may impact treatment response due to potential differences in race and ethnicity, and based on findings in other therapy areas. Here, we evaluated the efficacy and safety of tralokinumab in the ECZTRA 1/2/3 North American population at week 16, as well as maintenance of responses over time, and compared these data side-by-side with those of the ECZTRA 1/2/3 non-North American population.

methodsPrimary endpoints were Investigator's Global Assessment score of 0 or 1 (IGA 0/1; clear or almost clear) or at least 75% improvement in Eczema Area and Severity Index (EASI-75) at week 16. At week 16, tralokinumab-treated IGA 0/1 or EASI-75 responders were re-randomized 2:2:1 to tralokinumab 300 mg q2w, or q4w, or placebo (ECZTRA 1/2) and 1:1 to tralokinumab 300 mg q2w or q4w (ECZTRA 3).

resultsOverall, 559/1596 (35%) and 160/380 (42.1%) patients randomized in ECZTRA 1/2 and ECZTRA 3 were from North America, respectively. At week 16, IGA 0/1 and EASI-75 response rates were greater with tralokinumab versus placebo in ECZTRA 1/2 (IGA 0/1: 25.3% vs 15.1%; 95% confidence interval [CI] 3.0, 17.3; p = 0.012; EASI-75, 40.1% vs 19.4%; 95% CI 12.6, 28.7; p < 0.001) and ECZTRA 3 (IGA 0/1, 40.0% vs 25.9%; 95% CI - 0.5, 28.3; p = 0.074; EASI-75: 58.1% vs 37.0%; 95% CI 4.9, 37.0; p = 0.012) and tralokinumab was well tolerated in the North American population. Patients with IGA 0/1 or EASI-75 response at week 16 demonstrated sustained responses at week 52 and week 32 in ECZTRA 1/2 and ECZTRA 3, respectively. Similar findings were observed in the non-North American trial populations.

conclusionsTralokinumab, with or without TCS, displayed similar efficacy and safety in patients with moderate-to-severe AD across the North American population, and was comparable to the non-North American population. CLINICAL

trial registrationNCT03131648 (registered 27-Apr-2017); NCT03160885 (registered 19-May-2017); NCT03363854 (registered 6-Dec-2017).

Indexed as

Atopic dermatitisGeographic regionNorth AmericaPatientsTralokinumab

Identifiers

PMID36152216
PMCPMC9588100
OpenAlexW4296977517

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.