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Bermekimab Monoclonal Antibody

Phase 2

Atopic Dermatitis | Small molecule | Immunology |Johnson & Johnson|Last Updated: Feb 4, 2025

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-BlindCONTROLLEDBiomarker
Total Trials2
Total Enrollment125
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04021862A Study to Evaluate the Safety and Efficacy of Bermekimab in Patients With Moderate to Severe Atopic DermatitisPHASE2 COMPLETED 87Oct 16, 2019Nov 19, 2020Feb 4, 202517 United States
NCT03496974A Phase II Study of Bermekimab (MABp1) in Patients With Moderate to Severe Atopic DermatitisPHASE2 COMPLETED 38May 21, 2018Dec 11, 2018Mar 12, 20211 United States
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Study Endpoints
Primary Endpoints
Percentage of Participants Achieving Eczema Area and Severity Index-75 (EASI-75) Response at Week 16
Week 16

Percentage of participants achieving EASI-75 at Week 16 were reported. EASI-75 response was defined as at least 75% improvement from baseline in EASI total score. The EASI score was used to measure the severity and extent of atopic dermatitis (AD) and measures erythema, infiltration/papulation, excoriation and lichenification on 4 anatomic regions of the body: head/neck, trunk, upper and lower extremities. The severity of the clinical signs of AD for each of 4 body regions was scored on a 4-point scale: 0=absent, 1=mild, 2=moderate and 3=severe. The total EASI score is the sum of four body-region scores ranged from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD. This outcome measure was planned to be analyzed for specified arms only.

Number of Patients With Treatment Emergent Adverse Events (TEAEs)
From Visit 1 (Post-injection) until 7 days after the last administration of the study drug.

Safety and tolerability endpoints were evaluated by monitoring all the adverse events from clinical and laboratory reporting, vital signs, physical examinations, ECG and urinalysis. All the Adverse Events that the subjects experienced from Visit 1 Day 1 (Post-injection) until 7 days after the last administration of the study drug were captured in the clinical database. AEs are coded using medical dictionary - MedDRA Version 21.0 and the severity was assigned using CTCAE version 4.03.

Secondary Endpoints
Percentage of Participants Achieving >=4 Point Improvement (Reduction From Baseline) in Weekly Average Peak (Worst) Daily Pruritus (Itch) Numeric Rating Scale (NRS) Score From Baseline at Week 4, 8, 12, 16 and 32 Among Participants With Baseline Score >=4
Weeks 4, 8, 12, 16 and 32
Percentage of Participants Achieving >= 4 Point Improvement (Reduction From Baseline) in Weekly Average of Average Daily Pruritis (Itch) NRS Score From Baseline at Weeks 4, 8, 12, 16 and 32 Among Participants With a Baseline Score >=4
Weeks 4, 8, 12, 16 and 32
Percentage of Participants Achieving >=4 Improvement (Reduction From Baseline) in Weekly Average Peak (Worst) Daily Skin Pain NRS Score From Baseline at Weeks 4, 8, 12, 16 and 32 Among Participants With a Baseline Score >=4
Weeks 4, 8, 12, 16 and 32
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Treatment Arm 1 (bermekimab every week)EXPERIMENTALLoading Dose: 400 mg subcutaneous (SC) injection of bermekimab and a SC injection of matching placebo at week 0 (Baseline). Treatment Dose: 400 mg subcutaneous injection of bermekimab administered weekly (qw) from week 1 through Week 31.
Treatment Arm 2 (bermekimab every other week)EXPERIMENTALLoading Dose: 800 mg SC injection of bermekimab at week 0 (Baseline). Treatment Dose: 400 mg SC injection of bermekimab administered every other week (q2w) alternating with matching placebo q2w through Week 31.
PlaceboPLACEBO_COMPARATORLoading Dose: Placebo matching to bermekimab (4 milliliters \[mL\]) SC injection at Week 0, (Baseline). Treatment Dose: SC injection of matching placebo administered once weekly (qw) from week 1 to week 15 during placebo-controlled period. After completion of placebo-controlled period, participants will cross-over and receive bermekimab 400 mg SC injection qw at Week 16 through Week 31.
Group A: 200 mg cohortEXPERIMENTALThe dose of bermekimab for Group A is 200 mg (2ml of the 100 mg/ml formulation)
Group B: 400 mg cohortEXPERIMENTALThe dose of bermekimab for Group B is 400 mg (2ml of the 200 mg/ml formulation) administered weekly by subcutaneous injection
Interventions
NameTypeDescription
Bermekimab Monoclonal AntibodyDRUGBermekimab 400 mg or 800 mg will be administered subcutaneously.
PlaceboDRUGPlacebo will be administered subcutaneously.
Bermekimab Monoclonal Antibody 200 mgDRUG200 mg subcutaneous injection
Bermekimab Monoclonal Antibody 400 mgDRUG400 mg subcutaneous injection
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites17

Inclusion Criteria: * Male or female, at least 18 years * Willing and able to attend all clinic visits and comply with study-related procedures * Participant can understand and complete study-related questionnaires * Written informed consent provided by the participant * Chronic atopic dermatitis p...

Countries:United States
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