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AN2728, 5%

Phase 3

Dermatitis, Atopic | Small molecule | Dermatology |Pfizer, Inc.|Last Updated: Mar 5, 2019

Target and mechanism

ModalitySmall molecule

Also known as AN2728 Ointment, 5%, AN2728 Topical Ointment, 2%, AN2728, 2%, AN2728 Cream, 2%, AN2728 Ointment, AN2728, AN2728 Topical Ointment, 2% QD, AN2728 ointment, 2%

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials5
Total Enrollment1,682

FDA Designations

No designations recorded

Clinical trial landscape

AN2728, 5% · 12 trials · 3 indications

Phase 3 2Phase 2 6Phase 1 4
NCT02118766Safety and Efficacy of AN2728 Topical Ointment, 2% in Children, Adolescents, and Adults (Ages 2 Years and Older) With Atopic DermatitisDermatitis, Atopic
COMPLETED763 Analytics
NCT02118792Safety and Efficacy of AN2728 Topical Ointment, 2% in Children, Adolescents, and Adults (Aged 2 Years and Older) With Atopic DermatitisDermatitis, Atopic
COMPLETED764 Analytics
PHASE3COMPLETED
Safety and Efficacy of AN2728 Topical Ointment, 2% in Children, Adolescents, and Adults (Ages 2 Years and Older) With Atopic Dermatitis
Dermatitis, AtopicUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy of AN2728 Topical Ointment, 2% in Children, Adolescents, and Adults (Aged 2 Years and Older) With Atopic Dermatitis
Dermatitis, AtopicUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants Who Achieved Treatment Success Based on Investigator's Static Global Assessment (ISGA) at Day 29
Day 29

ISGA assessed the severity of AD (except scalp and venous access area) on a 5-point scale ranged from 0 (clear) to 4 (maximum severe), where higher scores indicate higher degree of AD. Grades for classification of severity: 0= clear (minor residual hypo/hyper pigmentation, no erythema or induration or papulation, no oozing or crusting), 1= almost clear (trace faint pink erythema, with barely perceptible induration or papulation and no oozing or crusting), 2= mild (faint pink erythema with mild induration or papulation and no oozing or crusting), 3= moderate (pink-red erythema with moderate induration or papulation with or without oozing or crusting) and 4= severe (deep or bright red erythema with severe induration or papulation and with oozing or crusting). Treatment success was defined as an ISGA score of Clear (0) or Almost Clear (1) with at least a 2-grade improvement from baseline.

Number of Participants With Treatment-Emergent Adverse Events (AEs) And Serious Adverse Events (SAEs)
AEs: Baseline (Day 1) up to Day 29, SAEs: Baseline (Day 1) up to Day 36

An AE was any untoward medical occurrence attributed to a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; Initial or prolonged inpatient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between first dose of study drug and up to end of study that were absent before treatment or that worsened relative to pre-treatment state.

Number of Participants With Clinically Significant Change From Baseline in Vital Signs at Day 29
Baseline, Day 29

Following parameters were analyzed for examination of vital signs: systolic and diastolic blood pressure, respiratory rate and body temperature. Vital sign measurements were performed with the participant in the seated or supine position. Clinical significance of change from baseline value was determined by investigator.

Number of Participants With Clinically Significant Change From Baseline in Laboratory Values at Day 29
Baseline, Day 29

Laboratory values included: Alkaline Phosphatase, Alanine Aminotransferase, Aspartate Aminotransferase, Albumin, Blood Urea Nitrogen, Creatinine, Hematocrit, Hemoglobin, Lymphocytes, Monocytes, Neutrophils, Platelets, Basophils, Eosinophils, Red blood cell count, White blood cell count, Total bilirubin and Glucose (nonfasting), Potassium, Total Protein, and Sodium. Clinical significance of change from baseline value was determined by investigator.

Percentage of Participants Who Achieved Success in Investigator's Static Global Assessment (ISGA) Score at Day 29
Day 29

ISGA assessed the severity of AD (except scalp) on a 5-point scale ranged from 0 (clear) to 4 (maximum severe), where higher scores indicate higher degree of AD. Grades for classification of severity: 0= clear (minor residual hypo/hyper pigmentation, no erythema or induration or papulation, no oozing or crusting), 1= almost clear (trace faint pink erythema, with barely perceptible induration or papulation and no oozing or crusting), 2= mild (faint pink erythema with mild induration or papulation and no oozing or crusting), 3= moderate (pink-red erythema with moderate induration or papulation with or without oozing or crusting) and 4= severe (deep or bright red erythema with severe induration or papulation and with oozing or crusting). Treatment success was defined as an ISGA score of Clear (0) or Almost Clear (1) with at least a 2-grade improvement from baseline.

Number of Participants With Clinically Significant Change From Baseline in Electrocardiogram (ECG) Findings at Day 8
Baseline, Day 8

ECG parameters that were analyzed: PR interval, QRS interval, QT interval and corrected QT interval based on Fridericia's formula (QTcF). Clinical significance of change from baseline in ECG findings was determined by investigator.

Number of Participants With Clinically Significant Change From Baseline in Vital Signs at Day 36
Baseline (Day 1), Day 36

Following parameters were analyzed for examination of vital signs: systolic and diastolic blood pressure, pulse, respiratory rate and body temperature. Vital sign measurements were performed with the participant in the seated or supine position and after the participant had been calmly sitting or lying face up for a minimum of 5 minutes. Clinical significance of change from baseline value was determined by investigator.

Number of Participants With Clinically Significant Laboratory Values
Baseline up to Day 36

Laboratory values included: Alkaline Phosphatase, Alanine Aminotransferase, Aspartate Aminotransferase, Albumin, Bilirubin, Blood Urea Nitrogen, Glucose, Hematocrit, Hemoglobin, Leukocytes, Lymphocytes, Monocytes, Neutrophils, Platelets, Basophils, Eosinophils, Erythrocytes, Potassium, Protein, Sodium. Clinically significant laboratory abnormalities were defined as abnormal laboratory test values that have clinical manifestations or require medical intervention, as per investigator's discretion.

Percentage of Participants With Local Tolerability Symptoms at Baseline
Baseline (Day 1)

Local tolerability symptoms (burning/stinging) were assessed in participants at sites of study drug application. Symptoms were assessed on 4-point scale ranging from 0 to 3, where 0 = none (no stinging/burning), 1 = mild (slight warm, tingling sensation); 2= moderate (definite warm; tingling/stinging sensation that is somewhat bothersome and severe); 3= severe (hot, tingling/stinging sensation that caused definite discomfort). Higher scores indicated more severe symptoms. Percentage of participants with each level of local tolerability (none, mild, moderate, severe) symptoms were reported.

Percentage of Participants With Local Tolerability Symptoms at Day 8
Day 8

Local tolerability symptoms (burning/stinging) were assessed in participants at sites of study drug application. Symptoms were assessed on 4-point scale ranging from 0 to 3, where 0= none (no stinging/burning), 1 = mild (slight warm, tingling sensation); 2= moderate (definite warm; tingling/stinging sensation that is somewhat bothersome and severe); 3= severe (hot, tingling/stinging sensation that caused definite discomfort). Higher scores indicated more severe symptoms. Percentage of participants with each level of local tolerability (none, mild, moderate, severe) symptoms were reported.

Percentage of Participants With Local Tolerability Symptoms at Day 15
Day 15

Local tolerability symptoms (burning/stinging) were assessed in participants at sites of study drug application. Symptoms were assessed on 4-point scale ranging from 0 to 3, where 0= none (no stinging/burning), 1= mild (slight warm, tingling sensation); 2= moderate (definite warm; tingling/stinging sensation that is somewhat bothersome and severe); 3= severe (hot, tingling/stinging sensation that caused definite discomfort). Higher scores indicated more severe symptoms. Percentage of participants with each level of local tolerability (none, mild, moderate, severe) symptoms were reported.

Percentage of Participants With Local Tolerability Symptoms at Day 22
Day 22

Local tolerability symptoms (burning/stinging) were assessed in participants at sites of study drug application. Symptoms were assessed on 4-point scale which ranges from 0 to 3, where 0 = none (no stinging/burning), 1 = mild (slight warm, tingling sensation); 2= moderate (definite warm; tingling/stinging sensation that is somewhat bothersome and severe); 3= severe (hot, tingling/stinging sensation that caused definite discomfort). Higher scores indicate high severity of symptoms. In this outcome, percentage of participants with each level of local tolerability (none, mild, moderate, severe) symptoms were reported.

Percentage of Participants With Local Tolerability Symptoms at Day 29
Day 29

Local tolerability symptoms (burning/stinging) were assessed in participants at sites of study drug application. Symptoms were assessed on 4-point scale which ranges from 0 to 3, where 0 = none (no stinging/burning), 1 = mild (slight warm, tingling sensation); 2= moderate (definite warm; tingling/stinging sensation that is somewhat bothersome and severe); 3= severe (hot, tingling/stinging sensation that caused definite discomfort). Higher scores indicate high severity of symptoms. Percentage of participants with each level of local tolerability (none, mild, moderate, severe) symptoms were reported.

Percentage of Participants With Local Tolerability Symptoms at Day 36
Day 36

Local tolerability symptoms (burning/stinging) were assessed in participants at sites of study drug application. Symptoms were assessed on 4-point scale which ranges from 0 to 3, where 0 = none (no stinging/burning), 1 = mild (slight warm, tingling sensation); 2= moderate (definite warm; tingling/stinging sensation that is somewhat bothersome and severe); 3= severe (hot, tingling/stinging sensation that caused definite discomfort). Higher scores indicate high severity of symptoms. Percentage of participants with each level of local tolerability (none, mild, moderate, severe) symptoms were reported.

Improvement From Baseline in Atopic Dermatitis Severity Index (ADSI) Score at Day 8
Baseline, Day 8

ADSI was used to assess the severity of atopic dermatitis (AD) based on five subscale scores of erythema, pruritus, exudation, excoriation, and lichenification. The severity of each subscale was measured on a 4-point scale ranging from 0 (none) to 3 (severe), where higher scores indicating more severity. ADSI was calculated as the sum of these 5 subscale scores with a total possible score range of 0 (none) to 15 (most severe) where, higher scores indicating more severity. Improvement from Baseline was calculated as Baseline score minus follow-up score.

Improvement From Baseline in Atopic Dermatitis Severity Index (ADSI) Score at Day 15
Baseline, Day 15

ADSI was used to assess the severity of atopic dermatitis (AD) based on five subscale scores of erythema, pruritus, exudation, excoriation, and lichenification. The severity of each subscale was measured on a 4-point scale ranging from 0 (none) to 3 (severe), where higher scores indicating more severity. ADSI was calculated as the sum of these 5 subscale scores with a total possible score range of 0 (none) to 15 (most severe) where, higher scores indicating more severity. Improvement from Baseline was calculated as Baseline score minus follow-up score.

Improvement From Baseline in Atopic Dermatitis Severity Index (ADSI) Score at Day 22
Baseline, Day 22

ADSI was used to assess the severity of atopic dermatitis (AD) based on five subscale scores of erythema, pruritus, exudation, excoriation, and lichenification. The severity of each subscale was measured on a 4-point scale ranging from 0 (none) to 3 (severe), where higher scores indicating more severity. ADSI was calculated as the sum of these 5 subscale scores with a total possible score range of 0 (none) to 15 (most severe) where, higher scores indicating more severity. Improvement from Baseline was calculated as Baseline score minus follow-up score.

Improvement From Baseline in Atopic Dermatitis Severity Index (ADSI) Score at Day 29
Baseline, Day 29

ADSI was used to assess the severity of atopic dermatitis (AD) based on five subscale scores of erythema, pruritus, exudation, excoriation, and lichenification. The severity of each subscale was measured on a 4-point scale ranging from 0 (none) to 3 (severe), where higher scores indicating more severity. ADSI was calculated as the sum of these 5 subscale scores with a total possible score range of 0 (none) to 15 (most severe) where, higher scores indicating more severity. Improvement from Baseline was calculated as Baseline score minus follow-up score.

Atopic Dermatitis Severity Index (ADSI) Score at Baseline (Day 1)
Baseline (Day 1)

ADSI score was used to measure the severity of participant's atopic dermatitis (AD) affected lesion. It evaluated 5 signs of AD (erythema, pruritus, exudation, excoriation and lichenification) in each lesion. Each sign was rated by investigator on a scale of 0 (none) to 3 (severe), where higher score indicated more severe condition. Total ADSI score for each lesion was sum of scores of the 5 signs and ranged from 0 (none) to 15 (most severe), where higher score indicated more severe condition.

Atopic Dermatitis Severity Index (ADSI) Score at Day 14
Day 14

ADSI score was used to measure the severity of participant's AD affected lesion. It evaluated 5 signs of AD (erythema, pruritus, exudation, excoriation and lichenification) in each lesion. Each sign was rated by investigator on a scale of 0 (none) to 3 (severe), where higher score indicated more severe condition. Total ADSI score for each lesion was sum of scores of the 5 signs and ranged from 0 (none) to 15 (most severe), where higher score indicated more severe condition.

Atopic Dermatitis Severity Index (ADSI) Score at Day 28
Day 28

ADSI score was used to measure the severity of participant's AD affected lesion. It evaluated 5 signs of AD (erythema, pruritus, exudation, excoriation and lichenification) in each lesion. Each sign was rated by investigator on a scale of 0 (none) to 3 (severe), where higher score indicated more severe condition. Total ADSI score for each lesion was sum of scores of the 5 signs and ranged from 0 (none) to 15 (most severe), where higher score indicated more severe condition.

Atopic Dermatitis Severity Index (ADSI) Score at Day 42
Day 42

ADSI score was used to measure the severity of participant's AD affected lesion. It evaluated 5 signs of AD (erythema, pruritus, exudation, excoriation and lichenification) in each lesion. Each sign was rated by investigator on a scale of 0 (none) to 3 (severe), where higher score indicated more severe condition. Total ADSI score for each lesion was sum of scores of the 5 signs and ranged from 0 (none) to 15 (most severe), where higher score indicated more severe condition.

Percentage of Participants With Decrease From Baseline in Atopic Dermatitis Severity Index (ADSI) Score at Day 28
Baseline (Day 1), Day 28

ADSI score was used to measure the severity of participant's AD affected lesion. It evaluated 5 signs of AD (erythema, pruritus, exudation, excoriation and lichenification) in each lesion. Each sign was rated by investigator on a scale of 0 (none) to 3 (severe), where higher score indicated more severe condition. Total ADSI score for each lesion was sum of scores of the 5 signs and ranged from 0 (none) to 15 (most severe), where higher score indicated more severe condition. Percentage of participants in whom the active lesion (ointment treated) achieved a greater decrease from baseline to Day 28 in ADSI as compared to vehicle lesion (vehicle treated) and, in whom the vehicle lesion (vehicle treated) achieved a greater decrease from baseline to Day 28 as compared to active lesion (ointment treated) were reported in this outcome measure.

Percentage of Participants Who Achieved Success in Physician's Global Assessment (PGA) of Disease Severity at Day 84
Day 84

PGA assessed severity of overall disease activity in participants. It was performed using a 6-point scale graded from 0 - 5, in which 0 = clear (no plaque elevation above normal skin level), 1 = almost clear (essentially flat with possible trace elevation), 2 = mild (slight but definite elevation of plaque above normal skin level), 3 = moderate (moderate elevation with rounded or sloped edges to plaque), 4 = severe (marked elevation with hard, sharp edges to plaque), 5 = very severe (very marked elevation with very hard, sharp edges to plaque). The success in PGA of disease severity was defined as a PGA score of '0 = clear' or '1 = almost clear', with at least 2-grade improvement in PGA from Baseline to Day 84.

Percentage of Participants With Greater Decrease In Overall Target Plaque Severity Score (OTPSS): Ointment (2% Twice Daily), Vehicle
Day 42

OTPSS is a scale to assess plaque severity. Each target plaque was scored by the investigator on severity scale ranging from 0 (no plaque) to 8 (very severe plaque), where higher score indicates more severity of a plaque. In this outcome measure, percentage of participants with reduced OTPSS in ointment (2% twice daily) treated plaque versus (vs.) vehicle treated plaque and percentage of participants with reduced OTPSS in vehicle treated plaque versus ointment (2% twice daily) treated plaque respectively at Day 42 are reported.

Percentage of Participants With Lowering of Overall Target Plaque Severity Score (OTPSS) at Day 84
Day 84

OTPSS is a scale to assess plaque severity. Each target plaque was scored by the investigator on severity scale ranging from 0 (no plaque) to 8 (very severe plaque), where higher score indicated more severity of a plaque. In this outcome measure, percentage of participants with reduced OTPSS at Day 84 were reported and comparison of ointment and vehicle treated plaque was given as 'Ointment treated plaque versus (vs.) vehicle treated plaque' and 'Vehicle treated plaque vs. ointment treated plaque'.

Percentage of Participants With Greater Decrease in Overall Target Plaque Severity Score (OTPSS) at Day 28
Day 28

OTPSS is a scale to assess plaque severity. Each target plaque was scored on a severity rating scale ranging from 0 (no plaque) to 8 (very severe plaque), where higher score indicated more severity of a plaque. In this outcome measure, percentage of participants with reduced OTPSS at Day 28 were reported and comparison of ointment and vehicle treated plaque was given as 'Ointment treated plaque versus (vs.) vehicle treated plaque' and 'Vehicle treated plaque vs. ointment treated plaque'.

Number of Participants With Local Tolerability Symptoms According to Severity on Baseline
Baseline

Local tolerability symptoms, burning or stinging, were classified according to severity as: 1) none = no stinging or burning, 2) mild = slight warm, tingling sensation; not really troublesome, 3) moderate = definite warm; tingling or stinging sensation; troublesome and 4) severe = hot, tingling or stinging sensation that caused definite discomfort. Number of participants with local tolerability symptoms according to severity on Baseline were reported in this outcome measure.

Number of Participants With Local Tolerability Symptoms According to Severity on Day 2
Day 2

Local tolerability symptoms, burning or stinging, were classified according to severity as: 1) none = no stinging or burning, 2) mild = slight warm, tingling sensation; not really troublesome, 3) moderate = definite warm; tingling or stinging sensation; troublesome and 4) severe = hot, tingling or stinging sensation that caused definite discomfort. Number of participants with local tolerability symptoms according to severity on Day 2 were reported in this outcome measure.

Number of Participants With Local Tolerability Symptoms According to Severity on Day 4
Day 4

Local tolerability symptoms, burning or stinging, were classified according to severity as: 1) none = no stinging or burning, 2) mild = slight warm, tingling sensation; not really troublesome, 3) moderate = definite warm; tingling or stinging sensation; troublesome and 4) severe = hot, tingling or stinging sensation that caused definite discomfort. Number of participants with local tolerability symptoms according to severity on Day 4 were reported in this outcome measure.

Number of Participants With Local Tolerability Symptoms According to Severity on Day 6
Day 6

Local tolerability symptoms, burning or stinging, were classified according to severity as: 1) none = no stinging or burning, 2) mild = slight warm, tingling sensation; not really troublesome, 3) moderate = definite warm; tingling or stinging sensation; troublesome and 4) severe = hot, tingling or stinging sensation that caused definite discomfort. Number of participants with local tolerability symptoms according to severity on Day 6 were reported in this outcome measure.

Number of Participants With Local Tolerability Symptoms According to Severity on Day 8
Day 8

Local tolerability symptoms, burning or stinging, were classified according to severity as: 1) none = no stinging or burning, 2) mild = slight warm, tingling sensation; not really troublesome, 3) moderate = definite warm; tingling or stinging sensation; troublesome and 4) severe = hot, tingling or stinging sensation that caused definite discomfort. Number of participants with local tolerability symptoms according to severity on Day 8 were reported in this outcome measure.

Number of Participants With Local Tolerability Symptoms According to Severity on Day 9
Day 9

Local tolerability symptoms, burning or stinging, were classified according to severity as: 1) none = no stinging or burning, 2) mild = slight warm, tingling sensation; not really troublesome, 3) moderate = definite warm; tingling or stinging sensation; troublesome and 4) severe = hot, tingling or stinging sensation that caused definite discomfort. Number of participants with local tolerability symptoms according to severity on Day 9 were reported in this outcome measure.

Number of Participants With Local Tolerability Symptoms According to Severity on Day 15
Day 15

Local tolerability symptoms, burning or stinging, were classified according to severity as: 1) none = no stinging or burning, 2) mild = slight warm, tingling sensation; not really troublesome, 3) moderate = definite warm; tingling or stinging sensation; troublesome and 4) severe = hot, tingling or stinging sensation that caused definite discomfort. Number of participants with local tolerability symptoms according to severity on Day 15 were reported in this outcome measure.

Number of Participants With Local Tolerability Symptoms According to Severity on Day 22
Day 22

Local tolerability symptoms, burning or stinging, were classified according to severity as: 1) none = no stinging or burning, 2) mild = slight warm, tingling sensation; not really troublesome, 3) moderate = definite warm; tingling or stinging sensation; troublesome and 4) severe = hot, tingling or stinging sensation that caused definite discomfort. Number of participants with local tolerability symptoms according to severity on Day 22 were reported in this outcome measure.

Number of Participants With Local Tolerability Symptoms According to Severity on Day 29
Day 29

Local tolerability symptoms, burning or stinging, were classified according to severity as: 1) none = no stinging or burning, 2) mild = slight warm, tingling sensation; not really troublesome, 3) moderate = definite warm; tingling or stinging sensation; troublesome and 4) severe = hot, tingling or stinging sensation that caused definite discomfort. Number of participants with local tolerability symptoms according to severity on Day 29 were reported in this outcome measure.

Number of Participants With Clinically Significant Vital Signs Abnormalities
Baseline (Day 1) up to Day 29

Vital signs (temperature, respiratory rate, pulse, systolic and diastolic blood pressure) were obtained with participant in the seated position, after having sat calmly for at least 5 minutes. Clinical significance of vital signs was determined at the investigator's discretion.

Number of Participants With Clinically Significant Laboratory Test Abnormalities
Baseline (Day 1) up to Day 29

Laboratory parameters included: hematology (hemoglobin, hematocrit, red blood cell, platelet and white blood cell count, neutrophils, eosinophils, monocytes, basophils and lymphocytes), chemistry (blood urea nitrogen, creatinine, sodium, potassium, aspartate aminotransferase, alanine aminotransferase, total bilirubin, alkaline phosphatase, albumin, total protein and serum pregnancy test \[for all female participants\]) and urine (urine pregnancy test \[for all female participants\]). Clinical significance of laboratory parameters was determined at the investigator's discretion.

Maximum Observed Plasma Concentration (Cmax) of AN2728 and Major Oxidative Metabolites of AN2728: Day 1
Pre-dose (0 hour), 1, 2, 4, 6, 8, 12 and 24 hours post-dose on Day 1

Maximum observed plasma concentration of AN2728 and its two identified oxidative metabolites, AN7602 and AN8323 on Day 1 was reported in the outcome measure.

Time to Reach Maximum Observed Plasma Concentration (Tmax) of AN2728 and Major Oxidative Metabolites of AN2728: Day 1
Pre-dose (0 hour), 1, 2, 4, 6, 8, 12 and 24 hours post-dose on Day 1

Time to reach maximum plasma concentration of AN2728 and its two identified oxidative metabolites, AN7602 and AN8323 on Day 1 was reported in the outcome measure.

Area Under the Concentration-Time Curve From Hour Zero To the 12 Hour Post-Dose Measurable Concentration of AN2728 and Major Oxidative Metabolites of AN2728: Day 1
Pre-dose (0 hour), 1, 2, 4, 6, 8 and 12 hours post-dose on Day 1

Area under the concentration-time curve from hour zero to the 12 hour post-dose measurable concentration, of AN2728 and its two identified oxidative metabolites, AN7602 and AN8323 on Day 1 was reported in the outcome measure.

Apparent Terminal Half-Life of AN2728 and Major Oxidative Metabolites of AN2728: Day 1
Pre-dose (0 hour), 1, 2, 4, 6, 8, 12 and 24 hours post-dose on Day 1

Apparent terminal half-life, of AN2728 and its two identified oxidative metabolites, AN7602 and AN8323 on Day 1 was reported in the outcome measure. Apparent terminal half-life is the time measured for the drug concentration to decrease by one-half in plasma.

Maximum Observed Plasma Concentration (Cmax) of AN2728 and Major Oxidative Metabolites of AN2728: Day 8
Pre-dose (0 hour), 1, 2, 4, 6, 8, 12 and 24 hours post-dose on Day 8

Maximum observed plasma concentration of AN2728 and its two identified oxidative metabolites, AN7602 and AN8323 on Day 8 was reported in the outcome measure.

Time to Reach Maximum Observed Plasma Concentration (Tmax) of AN2728 and Major Oxidative Metabolites of AN2728: Day 8
Pre-dose (0 hour), 1, 2, 4, 6, 8, 12 and 24 hours post-dose on Day 8

Time to reach maximum plasma concentration of AN2728 and its two identified oxidative metabolites, AN7602 and AN8323 on Day 8 was reported in the outcome measure.

Area Under the Concentration-Time Curve From Hour Zero To the 12 Hour Post-Dose Measurable Concentration of AN2728 and Major Oxidative Metabolites of AN2728: Day 8
Pre-dose (0 hour), 1, 2, 4, 6, 8 and 12 hours post-dose on Day 8

Area under the concentration-time curve from hour zero to the 12 hour post-dose measurable concentration, of AN2728 and its two identified oxidative metabolites, AN7602 and AN8323 on Day 8 was reported in the outcome measure.

Apparent Terminal Half-Life of AN2728 and Major Oxidative Metabolites of AN2728: Day 8
Pre-dose (0 hour), 1, 2, 4, 6, 8, 12 and 24 hours post-dose on Day 8

Apparent terminal half-life, of AN2728 and its two identified oxidative metabolites, AN7602 and AN8323 on Day 8 was reported in the outcome measure. Apparent terminal half-life is the time measured for the drug concentration to decrease by one-half in plasma.

Safety
Up to 21 days

12-lead ECG, clinical laboratory tests, urinalysis, spontaneous/elicited adverse event (AE) reporting, local site reactions, physical exam and vital signs (blood pressure, heart rate).

Efficacy of the active study preparations compared to the corresponding vehicle using differences in infiltrate thickness on study day 12.
Day 12
Efficacy of the Active Study Preparations Compared to the Corresponding Vehicle Using Differences in Infiltrate Thickness on Study Day 12
Day 12

Secondary Endpoints

Percentage of Participants With an Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 29
Day 29
Time to Achieve Treatment Success Based on Investigator's Static Global Assessment (ISGA)
Baseline (Day 1) up to Day 29
Change From Baseline in Signs of Atopic Dermatitis (AD) at Day 29
Baseline, Day 29
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AN2728 Topical Ointment, 2%EXPERIMENTALAN2728 Topical Ointment, 2%, applied twice daily for up to 28 days
Matching vehicle controlPLACEBO_COMPARATORMatching vehicle control, applied twice daily for up to 28 days
AN2728 Topical Ointment, 2% QD vs 0.5% QDEXPERIMENTALAN2728 Topical Ointment, 2% applied once daily for 29 days to a target lesion, and AN2728 Topical Ointment, 0.5% applied once daily for 29 days to a target lesion Treatments will be randomly assigned to target lesions A and B.
AN2728 Topical Ointment, 2% BID vs 0.5% BIDEXPERIMENTALAN2728 Topical Ointment, 2% applied twice daily for 29 days to a target lesion, and AN2728 Topical Ointment, 0.5% applied twice daily for 29 days to a target lesion. Treatments will be randomly assigned to target lesions A and B.
AN2898 ointment, 1%, vs. ointment vehicleEXPERIMENTALAN2898 ointment applied twice daily for 6 weeks to one target lesion, and AN2898 ointment vehicle applied twice daily for 6 weeks to a second target lesion. Treatments will be randomly assigned to target lesions A and B.
AN2728 ointment, 2%, vs. ointment vehicleEXPERIMENTALAN2728 ointment applied twice daily for 6 weeks to one target lesion, and AN2728 ointment vehicle applied twice daily for 6 weeks to a second target lesion. Treatments will be randomly assigned to target lesions A and B.
AN2728 ointment, 2%EXPERIMENTALAN2728 ointment, 2%
Ointment VehiclePLACEBO_COMPARATOROintment Vehicle
1. AN2728 Ointment BACTIVE_COMPARATOR2%, administered twice daily
2. AN2728 Ointment B VehiclePLACEBO_COMPARATOR -
3. AN2728 Ointment BACTIVE_COMPARATOR2%, administered once daily
4. AN2728 Ointment BACTIVE_COMPARATOR0.5%, administered twice daily
5. AN2728 Ointment BACTIVE_COMPARATOR0.5%, administered once daily
1ACTIVE_COMPARATORAN2728 Ointment, 5%
2PLACEBO_COMPARATORAN2728 Ointment vehicle
Cohort 1: AN2728 OintmentACTIVE_COMPARATOR -
Cohort 1: AN2728 VehiclePLACEBO_COMPARATOR -
Cohort 3: AN2728 OintmentACTIVE_COMPARATOR -
Cohort 3: AN2728 VehiclePLACEBO_COMPARATOR -
3EXPERIMENTALAN2728 Cream, 0.3%
4PLACEBO_COMPARATORAN2728 Cream Vehicle
5ACTIVE_COMPARATORBetnesol®-V Creme (betamethasone 0.1 %)
6ACTIVE_COMPARATORProtopic® Ointment (tacrolimus 0.1 %)

Interventions

NameTypeDescription
AN2728 Topical Ointment, 2%DRUG -
Matching vehicle controlDRUG -
AN2728 Topical Ointment, 2% QDDRUGAN2728 Topical Ointment, 2% QD
AN2728 Topical Ointment, 0.5% QDDRUGAN2728 Topical Ointment, 0.5% QD
AN2728 Topical Ointment, 2% BIDDRUGAN2728 Topical Ointment, 2% BID
AN2728 Topical Ointment, 0.5% BIDDRUGAN2728 Topical Ointment, 0.5% BID
AN2728 ointment, 2%DRUGAN2728 ointment, 2%, applied twice daily for 6 weeks
AN2898 ointment, 1%DRUGAN2898 ointment, 1%, applied twice daily for 6 weeks
AN2898 ointment vehicleDRUGAN2898 ointment vehicle applied twice daily for 6 weeks
AN2728 ointment vehicleDRUGAN2728 ointment vehicle applied twice daily for 6 weeks
Ointment VehicleDRUGOintment Vehicle, applied twice daily for 12 weeks
AN2728DRUGOintment B, 2% or 0.5% applied once or twice daily
PlaceboDRUGOintment B Vehicle applied once or twice daily
AN2728 OintmentDRUG5mg/cm2, BID
AN2728 VehicleDRUG5mg/cm2 BID
AN2728 Cream, 2%DRUG -
AN2728 Cream, 1%DRUG -
AN2728 Cream, 0.3%DRUG -
AN2728 Cream VehicleDRUG -
Betnesol®-V Creme, 0.1%DRUG -
AN2728 Ointment, 5%DRUG -
AN2728 Ointment, 0.5%DRUG -
Protopic® Ointment, 0.1 %DRUG -
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Eligibility Criteria

Age Range2 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Males or females 2 years and older * Has a clinical diagnosis of AD according to the criteria of Hanifin and Rajka * Has AD involvement ≥ 5% Treatable %BSA (excluding the scalp) * Has an ISGA score of Mild (2) or Moderate (3) at Baseline/Day 1 * All female subjects of childbea...

Countries:United StatesAustraliaMexicoGermany
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Frequently asked questions about AN2728, 5%

What is AN2728, 5%?

AN2728, 5% is an investigational topical small molecule developed by Pfizer, Inc. (PFE) for dermatology indications, including atopic dermatitis and plaque-type psoriasis. It is being studied as a topical ointment applied directly to affected skin. The program has reached Phase 3 development.

What is AN2728, 5% used for?

AN2728, 5% is being developed to treat atopic dermatitis, also called eczema, and plaque-type psoriasis. Clinical trials have enrolled children, adolescents, and adults aged 2 years and older with atopic dermatitis. Psoriasis is also listed among the target indications for this topical therapy.

Who makes AN2728, 5%?

AN2728, 5% is developed by Pfizer, Inc., which trades on the New York Stock Exchange under the ticker PFE. Pfizer is the sponsor of the clinical trial program evaluating this topical small molecule in atopic dermatitis and psoriasis.

What phase is AN2728, 5% in?

AN2728, 5% is in Phase 3 clinical development. It is investigational and has not been approved by the FDA. Six trials have been completed, including two Phase 3 studies in atopic dermatitis, and no trials are currently active.

What clinical trials is AN2728, 5% in?

The AN2728 program includes completed trials such as NCT02118792 and NCT02118766, two Phase 3 studies of AN2728 topical ointment 2% in atopic dermatitis enrolling 764 and 763 participants. Earlier studies include the Phase 2 trial NCT01602341 and the Phase 1 pharmacokinetic trial NCT01652885 in adolescents.

Is AN2728, 5% the same as AN2728 Ointment or AN2728 Cream?

Yes. AN2728, 5% refers to the same investigational compound known by several names, including AN2728 Ointment, AN2728 Topical Ointment, AN2728 Cream, and AN2728. The trial program has studied topical ointment formulations at 2% and 5% strengths in atopic dermatitis.