Safety of Lebrikizumab in Adults and Adolescents with Moderate-to-Severe Atopic Dermatitis: An Integrated Analysis of Eight Clinical Trials

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  • Linda Stein Gold
  • Diamant Thaçi
  • Thyssen, Jacob Pontoppidan
  • Melinda Gooderham
  • Vivian Laquer
  • Angela Moore
  • Chitra R. Natalie
  • Fangyi Zhao
  • Eric Meskimen
  • Hany Elmaraghy
  • Sonia Montmayeur
  • Gaia Gallo
  • Gemma Jimenez
  • Marjolein de Bruin-Weller

Background: Lebrikizumab is a monoclonal antibody that binds with high affinity to interleukin (IL)-13, thereby blocking the downstream effects of IL-13 with high potency. Objectives: To report integrated safety of lebrikizumab in adults and adolescents with moderate-to-severe atopic dermatitis from phase 2 and 3 studies. Methods: Five double-blind, randomized placebo-controlled studies; one randomized open-label study; one adolescent open-label, single-arm study; and one long-term safety study were summarized in two datasets: (1) placebo-controlled week 0–16 (All-PC Week 0–16) in patients who received lebrikizumab 250 mg every 2 weeks (LEBQ2W) versus placebo and (2) patients who received any dose of lebrikizumab at any time during the studies (All-LEB). Exposure-adjusted incidence rates (IR)/100 patient-years (PY) are provided. Results: A total of 1720 patients received lebrikizumab (1637.0 PY exposure). In All-PC Week 0–16, the frequency of treatment-emergent adverse events (TEAEs) was similar between treatment groups; most events were nonserious and mild or moderate in severity. The most frequently reported TEAEs were atopic dermatitis (placebo) and conjunctivitis (LEBQ2W). Frequencies of conjunctivitis cluster were 2.5% (placebo) and 8.5% (LEBQ2W), and all events were mild or moderate (All-LEB 10.6%, IR, 12.2). Frequencies of injection site reactions were 1.5% (placebo) and 2.6% (LEBQ2W; All-LEB 3.1%, IR, 3.3). Frequencies of adverse events leading to treatment discontinuation were 1.4% (placebo) and 2.3% (LEBQ2W; All-LEB 4.2%, IR, 4.5). Conclusion: The safety profile for lebrikizumab consisted of TEAEs that were mostly nonserious, mild or moderate in severity, and did not lead to treatment discontinuation. The safety profile was similar in both adults and adolescents. Clinicaltrials.gov: NCT02465606, NCT02340234, NCT03443024, NCT04146363, NCT04178967, NCT04250337, NCT04250350, NCT04392154 Video abstract: [MediaObject not available: see fulltext.].

Original languageEnglish
JournalAmerican Journal of Clinical Dermatology
Volume24
Issue number4
Pages (from-to)595-607
Number of pages13
ISSN1175-0561
DOIs
Publication statusPublished - 2023

Bibliographical note

Funding Information:
Eli Lilly and Company and Almirall S.A. would like to thank the clinical trial participants and their caregivers, without whom this work would not be possible. Medical writing/editorial assistance was provided by Kathy Oneacre, MA (Syneos Health, Morrisville, NC, USA), and funded by Eli Lilly and Company.

Publisher Copyright:
© 2023, The Author(s).

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