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Rocatinlimab

Phase 3

Atopic Dermatitis | Small molecule | Immunology |Amgen Inc.|Last Updated: May 4, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials12
Total Enrollment6,465
FDA Designations
No designations recorded
Clinical Trials (12)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06224192A Study With Self-administered Rocatinlimab in Adolescent and Adult Participants With Moderate-to-severe Atopic DermatitisPHASE3 COMPLETED 151Apr 2, 2024Mar 16, 2026Mar 25, 202647 United States, Canada +2
NCT05899816A Study Assessing Rocatinlimab on Vaccine Antibody Response in Moderate-to-severe Atopic Dermatitis (AD) (ROCKET - VOYAGER)PHASE3 COMPLETED 221Jun 7, 2023Nov 14, 2024Nov 5, 202585 United States, Canada
NCT05882877A Study to Assess Long-term Safety, Tolerability, and Efficacy of Rocatinlimab in Adult and Adolescent Participants With Moderate-to-severe Atopic Dermatitis (AD)PHASE3 ACTIVE NOT_RECRUITING 2,621May 31, 2023Jun 22, 2026May 4, 2026547 United States, Argentina +40
NCT05704738A Study to Evaluate Rocatinlimab (AMG 451) in Adolescent Participants With Moderate-to-severe Atopic Dermatitis (AD)PHASE3 COMPLETED 532Apr 20, 2023Nov 25, 2025Jan 16, 2026246 United States, Belgium +20
NCT05724199A Study Assessing Rocatinlimab in Combination With Topical Corticosteroid and/or Topical Calcineurin Inhibitors in Adult Participants With Moderate-to-severe Atopic Dermatitis (AD)PHASE3 COMPLETED 746Feb 21, 2023Dec 4, 2024Nov 24, 2025234 United States, Argentina +24
NCT05633355A Study to Assess the Safety, Tolerability, and Efficacy of Rocatinlimab in Adolescent Participants With Moderate-to-severe Atopic Dermatitis (AD)PHASE3 COMPLETED 187Jan 30, 2023Jul 31, 2025Dec 11, 202577 United States, Argentina +7
NCT05651711A Study Assessing Rocatinlimab (AMG 451) Monotherapy in Moderate-to-severe Atopic Dermatitis (AD) (ROCKET-Horizon)PHASE3 COMPLETED 726Dec 14, 2022Aug 27, 2024Apr 3, 2025197 United States, Australia +19
NCT05398445A Study Evaluating Rocatinlimab in Moderate-to-severe Atopic Dermatitis (ROCKET-IGNITE)PHASE3 COMPLETED 769May 31, 2022Jan 13, 2025Nov 24, 2025202 United States, Argentina +19
NCT06438263A Study to Evaluate Bioavailability of Rocatinlimab Autoinjector and Vial in Healthy ParticipantsPHASE1 COMPLETED 231Aug 6, 2024Jul 2, 2025Jan 20, 20263 United States
NCT06268860A Study to Assess Bioavailability of Rocatinlimab (AMG 451) Vial and Prefilled Syringe in Healthy ParticipantsPHASE1 COMPLETED 240Feb 15, 2024Oct 8, 2024Dec 23, 20254 United States, United Kingdom
NCT06214481A Study to Evaluate Rocatinlimab (AMG 451) in Healthy Chinese ParticipantsPHASE1 COMPLETED 20Jan 23, 2024Jun 5, 2024Jan 7, 20261 China
NCT05891119Study to Investigate the Effect of Rocatinlimab (AMG 451) on the Pharmacokinetics of Multiple Cytochrome P450 (CYP450) Substrates in Participants With Moderate to Severe Atopic DermatitisEARLY_PHASE1 COMPLETED 21Jun 3, 2023Feb 12, 2025Dec 23, 20257 United States
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Study Endpoints
Primary Endpoints
Proportion of Full-dose Self-administered Rocatinlimab Injections Among Total Attempted Injections up to Week 16
Up to Week 16
Number of Participants with a Positive Anti-tetanus Response
Week 20 to week 24
Number of Participants with a Positive Anti-meningococcal Response
Week 20 to week 24
Number of Participants With Treatment-emergent Adverse Events
Up to 116 weeks
Achievement of a Validated Investigator's Global Assessment for Atopic Dermatitis Score of 0 (Clear) or 1 (Almost Clear) with a ≥ 2 Point Reduction From Baseline (vIGA-AD 0/1) at Week 24
Baseline and Week 24
Achievement of ≥ 75% Reduction From Baseline in EASI Score (EASI 75) at Week 24
Baseline and Week 24
Achievement of a vIGA-AD Score of 0 or 1 with a ≥2 Point Reduction From Baseline at Week 24
Baseline, Week 24
Number of Participants With Treatment-emergent Serious Adverse Events
Up to 52 Weeks
Achievement of a Validated Investigator's Global Assessment for Atopic Dermatitis (vIGA-AD) score of 0 or 1 with ≥2 point reduction from baseline at Week 24
Baseline, Week 24
Achievement of ≥75% reduction from baseline in Eczema Area and Severity Index (EASI) score at Week 24
Baseline, Week 24
Maximum Plasma Concentration (Cmax) of Rocatinlimab
Up to approximately 112 days
Area Under the Serum Concentration-time Curve (AUC) From Time Zero to Time of Last Quantifiable Concentration (AUClast) of Rocatinlimab
Up to approximately 112 days
AUC From Time Zero to Infinity (AUCinf) of Rocatinlimab
Up to approximately 112 days
Maximum Observed Serum Concentration (Cmax) of Rocatinlimab
Up to Day 112
Maximum Observed Plasma Concentration (Cmax) of Rocatinlimab
Up to day 126
Area Under the Serum Concentration Time Curve (AUC) from Time Zero to the Time of the Last Measurable Concentration (AUClast) of Rocatinlimab
Up to day 126
Maximum Observed Serum Concentration (Cmax) of CYP450 Substrate
Day 1
Cmax of CYP450 Substrate
Day 120
Area Under the Serum Concentration-Time Curve from Time Zero to Time of Last Quantifiable Concentration (AUClast) of CYP450 Substrate
Day 1
AUClast of CYP450 Substrate
Day 120
Area Under the Serum Concentration-Time Curve from Time Zero to Infinity (AUCinf) of CYP450 Substrate
Day 1
AUCinf of CYP450 Substrate
Day 120
Secondary Endpoints
Proportion of Devices that Have Been Reported with Product Complaints Related to Function by Participants, Caregivers, or Investigators Among Total Dispensed Devices up to Week 16
Up to Week 16
Maintaining Validated Investigator's Global Assessment for Atopic Dermatitis (vIGA-AD™) 0/1 Response at Week 32 Among Participants Achieving vIGA-AD™ 0/1 Response at Day 1
Week 32
Maintaining a Revised IGA (rIGA™) 0/1 Response at Week 32 Among Participants Achieving rIGA™ 0/1 Response at Day 1
Week 32
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Rocatinlimab Dose 1 Prefilled Syringe (PFS)EXPERIMENTALRocatinlimab will be self-administered subcutaneously using a PFS. Participants will receive rocatinlimab for 52 weeks.
Rocatinlimab Dose 2 PFSEXPERIMENTALRocatinlimab will be self-administered subcutaneously using a PFS. Participants will receive rocatinlimab for 52 weeks.
Rocatinlimab Dose 2 Autoinjector (AI)EXPERIMENTALRocatinlimab will be self-administered subcutaneously using an AI. Participants will received rocatinlimab for 52 weeks.
RocatinlimabEXPERIMENTALRocatinlimab every 4 weeks (Q4W) for 24 weeks with a loading dose at Week 2.
PlaceboPLACEBO_COMPARATORPlacebo every 4 weeks (Q4W) for 24 weeks with a loading dose at Week 2.
ARM A: Dose 1 to Dose 1EXPERIMENTALParticipants from parent Rocatinlimab studies ROCKET-Ignite, ROCKET-Horizon, ROCKET-SHUTTLE, or ROCKET-ASTRO who received Dose 1 will be randomized or assigned to receive Dose 1 Every 4 Weeks (Q4W) or Every 8 Weeks (Q8W). Participants from parent Rocatinlimab study ROCKET-VOYAGER who received Dose 1 will be assigned to receive Dose 1 Q4W.
ARM B: Dose 2 to Dose 2EXPERIMENTALParticipants from parent Rocatinlimab studies ROCKET-Ignite, ROCKET-SHUTTLE, or ROCKET-ASTRO who received Dose 2 will be randomized or assigned to receive Dose 2 Q4W or Q8W.
ARM C: Dose 1 or Dose 2 to PlaceboPLACEBO_COMPARATORParticipants from parent Rocatinlimab studies ROCKET-Ignite or ROCKET-Horizon who received Dose 1 will be randomized to receive placebo Q4W. Participants from parent Rocatinlimab study ROCKET-Ignite who received Dose 2 will be randomized to receive placebo Q4W.
ARM D: Placebo to PlaceboPLACEBO_COMPARATORParticipants from parent Rocatinlimab studies ROCKET- Ignite, ROCKET-Horizon, ROCKET-SHUTTLE, ROCKET-ASTRO, or ROCKET-VOYAGER who received placebo will be randomized or assigned to receive placebo Q4W.
ARM E: Dose 1, Dose 2, Placebo, or Open-label (OL) to OL Dose 1EXPERIMENTALParticipants from parent Rocatinlimab studies ROCKET- Ignite, ROCKET-Horizon, ROCKET- SHUTTLE, ROCKET-ASTRO, or ROCKET-VOYAGER who received Dose 1, Dose 2, or placebo will be assigned to receive OL Rocatinlimab Dose 1 Q4W. Participants who received OL in parent Rocatinlimab study ROCKET- ASTRO will continue to receive OL Rocatinlimab Dose 1 Q4W. All participants from parent Rocatinlimab study ROCKET-Orbit will continue to receive OL Rocatinlimab Dose 1 Q4W.
ARM F GroupNO_INTERVENTIONParticipants in Arm E (OL Rocatinlimab Dose 1 Q4W) who meet defined criteria will have Rocatinlimab withdrawn, but will continue all subsequent study visits.
ARM G GroupEXPERIMENTALParticipants from Arm F who meet defined criteria will resume OL Rocatinlimab Dose 1 Q4W.
Arm A: Dose 1EXPERIMENTALPart 1 (Initial Period); Week 0 to Week 24: Rocatinlimab Dose 1 every 4 weeks (Q4W) for 24 weeks with loading dose at Week 2 (+ topical corticosteroids (TCS)/ topical calcineurin inhibitor (TCI) if within combination therapy cohort). Part 2 (Maintenance Period); Week 24 to Week 52: Part 1 Responders will be rerandomised at Week 24 to Rocatinlimab Dose 1 Q4W or every 8 weeks (Q8W) for 28 weeks (+ TCS/TCI if within combination therapy cohort).
Arm B: Dose 2EXPERIMENTALPart 1 (Initial Period); Week 0 to Week 24: Rocatinlimab Dose 2 Q4W for 24 weeks with loading dose at Week 2 (+TCS/TCI if within combination therapy cohort). Part 2 (Maintenance Period); Week 24 to Week 52: Part 1 Responders will be rerandomised at Week 24 to Rocatinlimab Dose 2 Q4W or Q8W for 28 weeks (with TCS/TCI if within combination therapy cohort).
Arm C: PlaceboEXPERIMENTALPart 1 (Initial Period); Week 0 to Week 24: Placebo Q4W for 24 weeks with loading dose at Week 2 (+TCS/TCI if within combination therapy cohort). Part 2 (Maintenance Period); Week 24 to Week 52: Part 1 Responders will be reassigned at Week 24 with Placebo Q4W for 28 weeks (with TCS/TCI if within combination therapy cohort).
Arm D: Open-Label Dose 1EXPERIMENTALPart 2; Week 24 to Week 52: Part 1 Non-Responders will be reassigned at Week 24 with Rocatinlimab Open-label Dose 1 Q4W for 28 weeks (with TCS/TCI if within combination therapy cohort). Participants in Arms A, B or C Maintenance Period will be reassigned with Rocatinlimab Open-label Dose 1 Q4W (with TCS/TCI if within combination therapy cohort) upon relapse after Week 24.
Rocatinlimab Dose 1 + TCS/TCIEXPERIMENTALRocatinlimab Dose 1 every 4 weeks (Q4W) for 24 weeks + TCS/TCI + loading dose at Week 2.
Rocatinlimab Dose 2 + TCS/TCIEXPERIMENTALRocatinlimab Dose 2 Q4W for 24 weeks + TCS/TCI + loading dose at Week 2.
Placebo + TCS/TCIPLACEBO_COMPARATORPlacebo Q4W for 24 weeks + TCS/TCI + loading dose at Week 2.
Arm AEXPERIMENTALRocatinlimab Dose 1 every 4 weeks (Q4W) + loading dose at Week 2
Arm BEXPERIMENTALRocatinlimab Dose 2 Q4W + loading dose at Week 2
Arm CPLACEBO_COMPARATORPlacebo Q4W+ loading dose at Week 2
Treatment AEXPERIMENTALParticipants will be randomized to receive a single dose of rocatinlimab vial solution for SC injection.
Treatment BEXPERIMENTALParticipants will be randomized to receive a single dose of rocatinlimab autoinjector for SC injection.
Rocatinlimab VialEXPERIMENTALParticipants will receive rocatinlimab vial solution SC
Rocatinlimab Prefilled SyringeEXPERIMENTALParticipants will receive rocatinlimab prefilled syringe solution SC
Rocatinlimab and CYP450 SubstratesEXPERIMENTALA single oral dose of a CYP450 substrates cocktail which will include caffeine, metoprolol, midazolam, warfarin (with vitamin K), and omeprazole will be administered on Day 1. A single dose of rocatinlimab will then be administered on Days 8, 22, 36, 64, and 92. A single oral dose of CYP450 substrates cocktail in combination with a single dose of rocatinlimab will then be administered on Day 120.
Interventions
NameTypeDescription
Rocatinlimab Prefilled SyringeCOMBINATION_PRODUCTPrefilled Syringe (PFS) for subcutaneous (SC) injection self-administration of rocatinlimab.
Rocatinlimab AICOMBINATION_PRODUCTAI for SC injection self-administration of rocatinlimab.
RocatinlimabDRUGSubcutaneous (SC) injection
PlaceboDRUGSC injection
Rocatinlimab vial injectionDRUGVial solution for SC injection administered on Day 1
CaffeineDIETARY_SUPPLEMENTOral liquid
MetoprololDRUGOral tablet
MidazolamDRUGOral liquid
WarfarinDRUGOral tablet
Vitamin KDIETARY_SUPPLEMENTOral tablet
OmeprazoleDRUGOral capsule
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Eligibility Criteria
Age Range12 Years — 100 Years
SexALL
Healthy VolunteersNo
Study Sites47

Inclusion Criteria: * Age ≥ 12 at Day 1. * Diagnosis of AD according to American Academy of Dermatology (AAD) Consensus Criteria (2014) that has been present for at least 12 months. * History of inadequate response to Topical Corticosteroids (TCS) of medium to higher potency (with or without topica...

Countries:United StatesCanadaJapanSouth KoreaArgentinaAustraliaAustriaBelgiumBrazilBulgariaChileChinaCroatiaCzechiaDenmarkEstoniaFinlandFranceGermanyGreeceHong KongHungaryIsraelItalyLatviaMalaysiaMexicoNetherlandsPolandPortugalPuerto RicoRomaniaSingaporeSlovakiaSloveniaSouth AfricaSpainSwitzerlandTaiwanThailandTurkey (Türkiye)United KingdomSweden
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Recent Changes (Last 90 Days)
MEDIUMMay 26, 2026NCT06224192TRIAL_REMOVED: changed
LOWMay 26, 2026NCT05882877primaryCompletionDate: changed
LOWMay 24, 2026NCT06224192studyFirstPostDate: changed
LOWMay 24, 2026NCT05882877studyFirstPostDate: changed