Evidence map›Paper›PMID 40645621›Full record

ArticleBMJ open2025

European, multicentre, prospective observational phase IV clinical study to assess the impact of lebrikizumab on health-related well-being and control of skin manifestations in patients with moderate-to-severe atopic dermatitis (ADTrust): study protocol.

Matthias Augustin, Anthony Bewley, Marie-Charlotte Brüggen, Marjolein S de Bruin-Weller, Khaled Ezzedine, Silvia M Ferrucci, Spyridon Gkalpakiotis, Pedro Herranz, Emma K Johansson, Tomáš Kampe and 13 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06815380 (A European, Multicenter, Prospective Observational Phase IV Clinical Study to Assess the Impact of Lebrikizumab on Health-Related Well-Being and Control of Skin Manifestations in Patients With Moderate-to-Severe Atopic Dermatitis), which is 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
–field-weighted citation impact
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.

NCT06815380 recruitingnot on this map

A European, Multicenter, Prospective Observational Phase IV Clinical Study to Assess the Impact of Lebrikizumab on Health-Related Well-Being and Control of Skin Manifestations in Patients With Moderate-to-Severe Atopic Dermatitis

TypeobservationalSponsorAlmirall, S.A.Ran2025 to 2029Enrolled1,000ConditionsAtopic Dermatitis, EczemaArmsNo Intervention
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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

23 authors.

Matthias AugustinInstitute for Health Services Research in Dermatology and Nursing, University Medical Center Hamburg-Eppendorf, Hamburg, Germany m.augustin@uke.de.
Anthony BewleyWhipps Cross University Hospital, Whitechapel, London, UK.
Marie-Charlotte BrüggenDepartment of Dermatology, University Hospital Zurich, Zürich, Switzerland.
Marjolein S de Bruin-WellerDepartment of Dermatology and Allergology, National Expertise Center for Atopic Dermatitis, University Medical Center Utrecht, Utrecht, Netherlands.
Khaled EzzedineDepartment of Dermatology, EpiDermE, Henri Mondor Hospital, Université Paris-Est Créteil, Créteil, France.
Silvia M FerrucciDermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Spyridon GkalpakiotisDepartment of Dermatovenereology, Third Faculty of Medicine, Charles University and Kralovske Vinohrady University Hospital, Prague, Czech Republic.
Pedro HerranzDermatology Department, Hospital Universitario La Paz, Madrid, Spain.
Emma K JohanssonDivision of Dermatology and Venereology, Department of Medicine Solna, Karolinska Institute, Stockholm, Sweden.
Tomáš KampeDepartment of Dermatovenerology, University Hospital Luis Pasteur, Košice, Slovakia.
Hilde LapeereDepartment of Dermatology, Ghent University Hospital, Ghent, Belgium.
Franz J LegatAbteilung für Dermatologie und Venerologie, Medizinische Universität Graz, Graz, Austria.
Eva Maria RehbinderDepartment of Dermatology, Oslo University Hospital, Oslo, Norway.
Jacek C SzepietowskiDepartment of Dermato-Venereology, 4th Military Hospital, Faculty of Medicine, University of Science and Technology, Wroclaw, Poland.
Tiago TorresDepartment of Dermatology, CAC ICBAS-CHP, Porto, Portugal.
Christian VestergaardDepartment of Dermatology, Aarhus University Hospital, Aarhus, Denmark.
Thomas WerfelDepartment of Dermatology and Allergy, Hannover Medical School, Hannover, Germany.
Arnau DomenechAlmirall S.A, Barcelona, Spain.
Eric MassanaAlmirall S.A, Barcelona, Spain.
Volker KoscielnyAlmirall S.A, Barcelona, Spain.
Siva NarayananAvant Health LLC, Bethesda, Maryland, USA.
Ismail KasujeeAlmirall S.A, Barcelona, Spain.
Jan GutermuthDepartment of Dermatology, Vrije Universiteit Brussel, Universitair Ziekenhuis Brussels, Jette, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAtopic dermatitis (AD) is a chronic, relapsing, heterogeneous skin disease affecting 2%-7% of adults, with roughly 30% having moderate-to-severe disease. AD symptoms, like intense itching and skin pain, carry a substantial disease burden that negatively impacts patients' quality of life (QoL) and psychosocial well-being. Lebrikizumab is a novel, high-affinity monoclonal antibody that selectively binds to and neutralises interleukin-13 with high potency. Three clinical trials with lebrikizumab (ADvocate 1 and 2; ADhere) demonstrated significant clinical benefit in patients with AD, while the 3-year long-term extension study of lebrikizumab (ADjoin) further demonstrated long-term efficacy and safety in patients with AD. The ADTrust study will evaluate patient well-being, their relationship with their skin, long-term effectiveness, and safety of lebrikizumab, treatment satisfaction, and long-term effect of lebrikizumab treatment on different aspects of patients' lives, including itch, pain, sleep, fatigue, work impairment and overall QoL among adult patients with moderate-to-severe AD in a real-world setting. METHODS AND ANALYSIS: This non-interventional, prospective, observational, real-world evidence study will involve approximately 150 sites across Europe and approximately 1200 adults with moderate-to-severe AD treated with lebrikizumab for 2 years. The primary endpoint is patient well-being assessed by the 5-item WHO Well-Being Index (WHO-5) questionnaire. Key secondary endpoints include clinical effectiveness (Eczema Area and Severity Index and Investigator's Global Assessment Scale), disease symptomatology and control (Patient-Oriented Eczema Measure, 24-hour peak pruritus, skin pain, fatigue and sleep quality Numerical Rating Scale, and safety and tolerability. Other validated endpoints will evaluate physician-reported and patient-reported QoL and treatment satisfaction (Dermatology Life Quality Index, Treatment Satisfaction Questionnaire-9), patients' work productivity and impairment (Work Productivity and Activity Impairment (WPAI)-AD) and disease control (AD Control Tool). Novel experimental endpoints will also be evaluated with the aim to assess patients' relationship with their skin (SkinLove questionnaire), disease control (intensity and frequency of flares) and an Effectiveness Diary ETHICS AND DISSEMINATION: This study will be conducted according to the protocol, which has ethics committee approval (Hamburg Ethic Committee in Germany: 2024-101358-BO-ff), and all applicable laws and regulatory requirements for each participating country. The results will be disseminated through scientific publications and congress presentations. TRIAL REGISTRATION NUMBER: NCT06815380 (Pre-results).

Indexed as

Antibodies, MonoclonalDermatitis, AtopicQuality of LifeAdultClinical Trials, Phase IV as TopicEuropeHumansMulticenter Studies as TopicObservational Studies as TopicPatient SatisfactionProspective StudiesPruritusSeverity of Illness IndexTreatment OutcomeAntibodies, MonoclonallebrikizumabAdult dermatologyObservational StudyQuality of Life

Identifiers

PMID40645621
PMCPMC12248206

What OpenQuestion holds

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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.