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Monoclonal Antibodies

Amlitelimab + Topical Corticosteroids for Atopic Dermatitis (AQUA) (AQUA Trial)

Verified Trial
Phase 3
Recruiting
Research Sponsored by Sanofi
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Have you had atopic dermatitis for at least 1 year?
Have you taken Dupilumab (otherwise known as Dupixent) or Tralokinumab (otherwise known as Adbry) to treat your atopic dermatitis?
Must not have
Have you been diagnosed with any of the following: psoriasis, tinea corporis, or lupus erythematosus?
Have you experienced suicidal ideation or thoughts of self-harm in the past 6 months?
Timeline
Screening 2 weeks
Treatment 36 weeks
Follow Up 16 weeks
Awards & highlights
Pivotal Trial

Summary

The purpose of the AQUA Study is to test how well and safely a new investigational drug called amlitelimab works in participants with atopic dermatitis (AD) who are on background topical corticosteroids (TCS) or topical calcineurin inhibitors (TCI) and did not improve with previous biologic therapy or oral Janus Kinase (JAK) inhibitor treatment or are not tolerant to these treatments.

Who is the study for?
You are eligible if you have been diagnosed with moderate-to-severe AD for a year or longer and you are using concomitant topical corticosteroids or calcineurin inhibitors and your symptoms are not controlled with previous treatment for AD with biologic therapy or oral Janus Kinase (JAK) inhibitor treatment or you are not tolerant to these treatments.
What is being tested?
Atopic dermatitis is an immune system condition. The investigational drug, amlitelimab, is an immunotherapy that targets the inflammation cascade. It is aimed to calm the immune system to prevent inflammation. Amlitelimab has been shown to be well tolerated by patients in previous clinical studies but is not yet approved for treating atopic dermatitis.
What are the potential side effects?
The most frequently reported side effects in participants who received amlitelimab (reported in ≥ 5% of study participants) and more frequent compared to those who received placebo (a ≥ 1% difference between amlitelimab compared to placebo) were: nasopharyngitis, COVID-19 and headache.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:

Timeline

Screening ~ 2 weeks
Treatment ~ 36 weeks
Follow Up ~16 weeks
This trial's timeline: 2 weeks for screening, 36 weeks for treatment, and 16 weeks for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
EU, EU reference countries, and Japan: Proportion of participants reaching 75% reduction from baseline in Eczema Area and Severity Index (EASI) score (EASI75) at Week 36
EU, EU reference countries, and Japan: Proportion of participants with Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD) of 0 (clear) or 1 (almost clear) and a reduction from baseline of ≥2 points at Week 36
US and US reference countries: Proportion of participants with vIGA-AD of 0 (clear) or 1 (almost clear) and a reduction from baseline of ≥2 points at Week 36
Secondary study objectives
Absolute change in SCORAD index from baseline
Absolute change in weekly average of daily PP-NRS from baseline
Absolute change in weekly average of daily Skin Pain-Numerical Rating Scale (SP-NRS) from baseline
+32 more

Awards & Highlights

Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.

Trial Design

3Treatment groups
Experimental Treatment
Placebo Group
Group I: Amlitelimab dose 2Experimental Treatment3 Interventions
Subcutaneous injection as per protocol
Group II: Amlitelimab dose 1Experimental Treatment3 Interventions
Subcutaneous injection as per protocol
Group III: PlaceboPlacebo Group3 Interventions
Subcutaneous injection as per protocol
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Topical corticosteroids
2004
Completed Phase 3
~2420

Find a Location

Who is running the clinical trial?

SanofiLead Sponsor
2,216 Previous Clinical Trials
4,047,383 Total Patients Enrolled
~145 spots leftby Mar 2026