JADE Mono-2: Study Evaluating Efficacy and Safety of PF-04965842 in Subjects Aged 12 Years And Older With Moderate to Severe Atopic Dermatitis

Sponsor
Pfizer (Industry)
Overall Status
Completed
CT.gov ID
NCT03575871
Collaborator
(none)
391
115
3
13.5
3.4
0.3

Study Details

Study Description

Brief Summary

B7451013 is a Phase 3 study to evaluate PF-04965842 in patients aged 12 years and older with a minimum body weight of 40 kg who have moderate to severe atopic dermatitis. The efficacy and safety of two dosage strengths of PF-04965842, 100 mg and 200 mg taken orally once daily, will be evaluated relative to placebo over 12 weeks of study participation. Eligible patients will have an option to enter a long-term extension study after completing 12 weeks of treatment.

Condition or Disease Intervention/Treatment Phase
  • Drug: PF-04965842 100 mg
  • Drug: PF-04965842 200 mg
  • Drug: Placebo
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
391 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A PHASE 3 RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, PARALLEL GROUP, MULTI-CENTER STUDY TO EVALUATE THE EFFICACY AND SAFETY OF PF-04965842 MONOTHERAPY IN SUBJECTS AGED 12 YEARS AND OLDER, WITH MODERATE TO SEVERE ATOPIC DERMATITIS
Actual Study Start Date :
Jun 29, 2018
Actual Primary Completion Date :
Aug 13, 2019
Actual Study Completion Date :
Aug 13, 2019

Arms and Interventions

Arm Intervention/Treatment
Experimental: PF-04965842 100 mg

Drug: PF-04965842 100 mg
PF-04965842 100 mg, administered as two tablets to be taken orally once daily for 12 weeks

Experimental: PF-04965842 200 mg

Drug: PF-04965842 200 mg
PF-04965842 200 mg, administered as two tablets to be taken orally once daily for 12 weeks

Placebo Comparator: Placebo

Drug: Placebo
Placebo, administered as two tablets to be taken orally once daily for 12 weeks

Outcome Measures

Primary Outcome Measures

  1. Percentage of Participants Achieving Investigator's Global Assessment (IGA) Response of Clear (0) or Almost Clear (1) and Greater Than or Equal to (>=) 2 Points Improvement From Baseline at Week 12 [Baseline, Week 12]

    IGA assesses severity of AD on a 5 point scale (0 to 4, higher scores indicate more severity). Scores: 0= clear, no inflammatory signs of AD; 1= almost clear, AD not fully cleared- light pink residual lesions (except post-inflammatory hyperpigmentation), just perceptible erythema, papulation/induration lichenification, excoriation, and no oozing/crusting; 2= mild AD with light red lesions, slight but definite erythema, papulation/induration, lichenification, excoriation and no oozing/crusting; 3= moderate AD with red lesions, moderate erythema, papulation/induration, lichenification, excoriation and slight oozing/crusting; 4= severe AD with deep dark red lesions, severe erythema, papulation/induration, lichenification, excoriation and moderate to severe oozing/crusting. Assessment excluded soles, palms and scalp.

  2. Percentage of Participants Achieving Eczema Area and Severity Index Response of >=75 Percent (%) Improvement (EASI-75) From Baseline at Week 12 [Baseline, Week 12]

    EASI evaluates severity of participants AD (excluded scalp, palms, soles) based on severity of AD clinical signs and % of body surface area (BSA) affected. Severity of clinical signs of AD (erythema, induration/papulation, excoriation and lichenification) scored separately for each of 4 body regions (head and neck, upper limbs, trunk [including axillae and groin] and lower limbs [including buttocks] on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score was based upon % BSA with AD in body region: 0 (0%), 1 (>0 to <10%), 2 (10 to <30%), 3 (30 to <50%), 4 (50 to <70%), 5 (70 to <90%) and 6 (90 to 100%). Total EASI score =0.1*Ah*(Eh+Ih+Exh+Lh) + 0.2*Au*(Eu+Iu+ExU+Lu) + 0.3*At*(Et+It+Ext+Lt) + 0.4*Al*(El+Il+Exl+Ll); A = EASI area score; E = erythema; I = induration/papulation; Ex = excoriation; L = lichenification; h = head and neck; u = upper limbs; t = trunk; l = lower limbs. Total EASI score ranged from 0.0 to 72.0, higher scores = greater severity of AD.

Secondary Outcome Measures

  1. Percentage of Participants Who Achieved at Least 4-Points Improvement From Baseline in the Numerical Rating Scale (NRS) for Severity of Pruritus at Weeks 2, 4, 8 and 12 [Baseline, Weeks 2, 4, 8 and 12]

    Participants were asked to assess their worst pruritus/itching due to AD over the past 24 hours on an NRS scale ranged from 0 (no itching) to 10 (worst possible itching), where higher scores indicated greater severity.

  2. Change From Baseline in Pruritus and Symptoms Assessment for Atopic Dermatitis (PSAAD) Total Score at Week 12 [Baseline, Week 12]

    PSAAD is a daily participant reported symptom electronic diary. Participants rated their symptoms of AD over the past 24 hours, using 11 items (itchy skin, painful skin, dry skin, flaky skin, cracked skin, bumpy skin, red skin, discolored skin [lighter or darker], bleeding from skin, seeping or oozing fluid from skin [other than blood], and skin swelling). Participant had to think about all the areas of their body affected by their skin condition and chose the number that best described their experience for each of the 11 items, from 0 (no symptoms) to 10 (extreme symptoms), higher scores signified worse skin condition. Total PSAAD score = arithmetic mean of 11 items, 0 (no symptoms) to 10 (extreme symptoms), where higher score = worse skin condition.

  3. Time to Achieve >=4 Points Improvement From Baseline in Numerical Rating Scale (NRS) for Severity of Pruritus [Baseline up to Day 15]

    Participants were asked to assess their worst itching/pruritus due to AD over the past 24 hours on an NRS scale ranged from 0 (no itching) to 10 (worst itch imaginable), where higher scores indicated greater severity.

  4. Percentage of Participants Achieving Eczema Area and Severity Index Response of >=75% Improvement (EASI-75) From Baseline at Weeks 2, 4 and 8 [Baseline, Weeks 2, 4, and 8]

    EASI evaluates severity of participants' AD (excluded scalp, palms, soles) based on severity of AD clinical signs and % of body surface area (BSA) affected. Severity of clinical signs of AD (erythema, induration/papulation, excoriation and lichenification) scored separately for each of 4 body regions (head and neck, upper limbs, trunk [including axillae and groin)] and lower limbs [including buttocks]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score was based upon % BSA with AD in body region: 0 (0%), 1 (>0 to <10%), 2 (10 to <30%), 3 (30 to <50%), 4 (50 to <70%), 5 (70 to <90%) and 6 (90 to 100%). Total EASI score =0.1*Ah*(Eh+Ih+Exh+Lh) + 0.2*Au*(Eu+Iu+ExU+Lu) + 0.3*At*(Et+It+Ext+Lt) + 0.4*Al*(El+Il+Exl+Ll); A = EASI area score; E = erythema; I = induration/papulation; Ex = excoriation; L = lichenification; h = head and neck; u = upper limbs; t = trunk; l = lower limbs. Total EASI score ranged from 0.0 to 72.0, higher scores = greater severity of AD.

  5. Percentage of Participants Achieving IGA Response of Clear (0) or Almost Clear (1) and >=2 Points Improvement From Baseline at Weeks 2, 4 and 8 [Baseline, Weeks 2, 4, and 8]

    IGA assesses severity of AD on a 5 point scale (0 to 4, higher scores indicate more severity). Scores: 0= clear, no inflammatory signs of AD; 1= almost clear, AD not fully cleared- light pink residual lesions (except post-inflammatory hyperpigmentation), just perceptible erythema, papulation/induration lichenification, excoriation, and no oozing/crusting; 2= mild AD with light red lesions, slight but definite erythema, papulation/induration, lichenification, excoriation and no oozing/crusting; 3= moderate AD with red lesions, moderate erythema, papulation/induration, lichenification, excoriation and slight oozing/crusting; 4= severe AD with deep dark red lesions, severe erythema, papulation/induration, lichenification, excoriation and moderate to severe oozing/crusting. Assessment excluded sole, palms and scalp.

  6. Percentage of Participants Achieving Investigator's Global Assessment (IGA) Response of Clear (0) at Week 2, 4, 8 and 12 [Weeks 2, 4, 8 and 12]

    IGA assesses severity of AD on a 5 point scale (0 to 4, higher scores indicate more severity). Scores: 0= clear, no inflammatory signs of AD; 1= almost clear, AD not fully cleared- light pink residual lesions (except post-inflammatory hyperpigmentation), just perceptible erythema, papulation/induration lichenification, excoriation, and no oozing/crusting; 2= mild AD with light red lesions, slight but definite erythema, papulation/induration, lichenification, excoriation and no oozing/crusting; 3= moderate AD with red lesions, moderate erythema, papulation/induration, lichenification, excoriation and slight oozing/crusting; 4= severe AD with deep dark red lesions, severe erythema, papulation/induration, lichenification, excoriation and moderate to severe oozing/crusting. Assessment excluded soles, palms and scalp.

  7. Percentage of Participants Achieving Eczema Area and Severity Index Response of >=50% Improvement (EASI-50) From Baseline at Weeks 2, 4, 8 and 12 [Baseline, Weeks 2, 4, 8, and 12]

    EASI evaluates severity of participants' AD (excluded scalp, palms, soles) based on severity of AD clinical signs and % of body surface area (BSA) affected. Severity of clinical signs of AD (erythema, induration/papulation, excoriation and lichenification) scored separately for each of 4 body regions (head and neck, upper limbs, trunk [including axillae and groin)] and lower limbs [including buttocks]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score was based upon % BSA with AD in body region: 0 (0%), 1 (>0 to <10%), 2 (10 to <30%), 3 (30 to <50%), 4 (50 to <70%), 5 (70 to <90%) and 6 (90 to 100%). Total EASI score =0.1*Ah*(Eh+Ih+Exh+Lh) + 0.2*Au*(Eu+Iu+ExU+Lu) + 0.3*At*(Et+It+Ext+Lt) + 0.4*Al*(El+Il+Exl+Ll); A = EASI area score; E = erythema; I = induration/papulation; Ex = excoriation; L = lichenification; h = head and neck; u = upper limbs; t = trunk; l = lower limbs. Total EASI score ranged from 0.0 to 72.0, higher scores = greater severity of AD.

  8. Percentage of Participants Achieving Eczema Area and Severity Index Response of >=90% Improvement (EASI-90) From Baseline at Weeks 2, 4, 8 and 12 [Baseline, Weeks 2, 4, 8, and 12]

    EASI evaluates severity of participants' AD (excluded scalp, palms, soles) based on severity of AD clinical signs and % of body surface area (BSA) affected. Severity of clinical signs of AD (erythema, induration/papulation, excoriation and lichenification) scored separately for each of 4 body regions (head and neck, upper limbs, trunk [including axillae and groin)] and lower limbs [including buttocks]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score was based upon % BSA with AD in body region: 0 (0%), 1 (>0 to <10%), 2 (10 to <30%), 3 (30 to <50%), 4 (50 to <70%), 5 (70 to <90%) and 6 (90 to 100%). Total EASI score =0.1*Ah*(Eh+Ih+Exh+Lh) + 0.2*Au*(Eu+Iu+ExU+Lu) + 0.3*At*(Et+It+Ext+Lt) + 0.4*Al*(El+Il+Exl+Ll); A = EASI area score; E = erythema; I = induration/papulation; Ex = excoriation; L = lichenification; h = head and neck; u = upper limbs; t = trunk; l = lower limbs. Total EASI score ranged from 0.0 to 72.0, higher scores = greater severity of AD.

  9. Percentage of Participants Achieving Eczema Area and Severity Index Response of 100% Improvement (EASI-100) From Baseline at Weeks 2, 4, 8 and 12 [Baseline, Weeks 2, 4, 8, and 12]

    EASI evaluates severity of participant's AD (excluded scalp, palms, soles) based on severity of AD clinical signs and % of body surface area (BSA) affected. Severity of clinical signs of AD (erythema, induration/papulation, excoriation and lichenification) scored separately for each of 4 body regions (head and neck, upper limbs, trunk [including axillae and groin] and lower limbs [including buttocks]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score was based upon % BSA with AD in body region: 0 (0%), 1 (>0 to <10%), 2 (10 to <30%), 3 (30 to <50%), 4 (50 to <70%), 5 (70 to <90%) and 6 (90 to 100%). Total EASI score =0.1*Ah*(Eh+Ih+Exh+Lh) + 0.2*Au*(Eu+Iu+ExU+Lu) + 0.3*At*(Et+It+Ext+Lt) + 0.4*Al*(El+Il+Exl+Ll); A = EASI area score; E = erythema; I = induration/papulation; Ex = excoriation; L = lichenification; h = head and neck; u = upper limbs; t = trunk; l = lower limbs. Total EASI score ranged from 0.0 to 72.0, higher scores = greater severity of AD.

  10. Percent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Week 2, 4, 8 and 12 [Baseline, Weeks 2, 4, 8, and 12]

    EASI evaluates severity of participant's AD (excluded scalp, palms, soles) based on severity of AD clinical signs and % of body surface area (BSA) affected. Severity of clinical signs of AD (erythema, induration/papulation, excoriation and lichenification) scored separately for each of 4 body regions (head and neck, upper limbs, trunk [including axillae and groin] and lower limbs [including buttocks]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score was based upon % BSA with AD in body region: 0 (0%), 1 (>0 to <10%), 2 (10 to <30%), 3 (30 to <50%), 4 (50 to <70%), 5 (70 to <90%) and 6 (90 to 100%). Total EASI score =0.1*Ah*(Eh+Ih+Exh+Lh) + 0.2*Au*(Eu+Iu+ExU+Lu) + 0.3*At*(Et+It+Ext+Lt) + 0.4*Al*(El+Il+Exl+Ll); A = EASI area score; E = erythema; I = induration/papulation; Ex = excoriation; L = lichenification; h = head and neck; u = upper limbs; t = trunk; l = lower limbs. Total EASI score ranged from 0.0 to 72.0, higher scores = greater severity of AD.

  11. Change From Baseline in the Percentage Body Surface Area (%BSA) Affected at Week 2, 4, 8, and 12 [Baseline, Weeks 2, 4, 8, and 12]

    4 body regions were evaluated: head and neck, upper limbs, trunk (including axillae and groin) and lower limbs (including buttocks). Scalp, palms and soles were excluded. BSA was calculated using handprint method. Number of handprints (size of participant's hand with fingers in a closed position) fitting in the affected area of a body region was estimated. Maximum number of handprints were 10 for head and neck, 20 for upper limbs, 30 for trunk and 40 for lower limbs. Surface area of body region equivalent to 1 handprint: 1 handprint was equal to 10% for head and neck, 5% for upper limbs, 3.33% for trunk and 2.5% for lower limbs. Percent BSA for a body region was calculated as = total number of handprints in a body region * % surface area equivalent to 1 handprint. Overall % BSA for an individual: arithmetic mean of % BSA of all 4 body regions, ranges from 0 to 100%, with higher values representing greater severity of AD.

  12. Percentage of Participants With Percentage Body Surface Area (%BSA) (From EASI) < 5% at Weeks 2, 4, 8 and 12 [Weeks 2, 4, 8, and 12]

    4 body regions were evaluated: head and neck, upper limbs, trunk (including axillae and groin) and lower limbs (including buttocks). Scalp, palms and soles were excluded. BSA was calculated using handprint method. Number of handprints (size of participant's hand with fingers in a closed position) fitting in the affected area of a body region was estimated. Maximum number of handprints were 10 for head and neck, 20 for upper limbs, 30 for trunk and 40 for lower limbs. Surface area of body region equivalent to 1 handprint: 1 handprint was equal to 10% for head and neck, 5% for upper limb, 3.33% for trunk and 2.5% for lower limb. % BSA for a body region was calculated as = total number of handprints in a body region * % surface area equivalent to 1 handprint. Overall % BSA for an individual: arithmetic mean of % BSA of all 4 body regions, ranges from 0 to 100%, with higher values representing greater severity of AD.

  13. Percentage of Participants Achieving Scoring Atopic Dermatitis (SCORAD) Response >=50% Improvement From Baseline at Week 2, 4, 8 and 12 [Baseline, Weeks 2, 4, 8, and 12]

    SCORAD: scoring index for AD combining extent, severity, subjective symptoms. Extent (A): rule of 9 was used to calculate BSA affected by AD as a % of whole BSA for each body region- head and neck 9%; upper limbs 9% each; lower limbs 18% each; anterior trunk 18%; back 18%; 1% for genitals. The score for each body region was added to determine A (0-100). Severity (B): severity of each sign (erythema; edema; oozing; excoriation; skin thickening; dryness) was assessed as none=0, mild=1, moderate=2,severe=3. The severity scores were summed to give B (0-18). Subjective symptoms (C): pruritus and sleep, each of these 2 were scored by participant/caregiver using visual analogue scale (VAS) where "0" = no itch/no sleeplessness and "10" = the worst imaginable itch/sleeplessness, higher scores=worse symptoms. Scores for itch and sleeplessness were added to give 'C' (0-20). The SCORAD for an individual was calculated: A/5 + 7*B/2 + C; range from 0 to 103; higher values of SCORAD=worse outcome.

  14. Percentage of Participants Achieving Scoring Atopic Dermatitis (SCORAD) Response >=75% Improvement From Baseline at Week 2, 4, 8 and 12 [Baseline, Weeks 2, 4, 8, and 12]

    SCORAD: scoring index for AD combining extent, severity, subjective symptoms. Extent (A): rule of 9 was used to calculate BSA affected by AD as a % of whole BSA for each body region- head and neck 9%; upper limbs 9% each; lower limbs 18% each; anterior trunk 18%; back 18%; 1% for genitals. The score for each body region was added to determine A (0-100). Severity (B): severity of each sign (erythema; edema; oozing; excoriation; skin thickening; dryness) was assessed as none (0), mild (1), moderate (2) or severe (3). The severity scores added to give B (0-18). Subjective symptoms (C): pruritus and sleep loss, each of these 2 were scored by participant/caregiver using VAS where "0" = no itch or no sleeplessness and "10" = the worst imaginable itch or sleeplessness, higher scores worse symptoms. Scores for itch and sleeplessness added to give 'C' (0-20). The SCORAD for an individual was calculated: A/5 + 7*B/2 + C; range from 0 to 103; higher values of SCORAD = worse outcome.

  15. Change From Baseline in Scoring Atopic Dermatitis (SCORAD) Visual Analogue Scale (VAS) of Itch at Weeks 2, 4, 8 and 12 [Baseline, Weeks 2, 4, 8, and 12]

    SCORAD: scoring index for AD combining extent, severity, subjective symptoms. Extent (A): rule of 9 was used to calculate BSA affected by AD as a % of whole BSA for each body region- head and neck 9%; upper limbs 9% each; lower limbs 18% each; anterior trunk 18%; back 18%; 1% for genitals. The score for each body region was added to determine A (0-100). Severity (B): severity of each sign (erythema; edema; oozing; excoriation; skin thickening; dryness) was assessed as none (0), mild (1), moderate (2) or severe (3). The severity scores added to give B (0-18). Subjective symptoms (C): pruritus and sleep loss, each of these 2 were scored by participant/caregiver using VAS where "0" = no itch or no sleeplessness and "10" = the worst imaginable itch or sleeplessness, higher scores worse symptoms. Scores for itch and sleeplessness added to give 'C' (0-20). The SCORAD for an individual was calculated: A/5 + 7*B/2 + C; range from 0 to 103; higher values of SCORAD = worse outcome.

  16. Change From Baseline in Scoring Atopic Dermatitis (SCORAD) Visual Analogue Scale (VAS) Sleep Loss at Weeks 2, 4, 8 and 12 [Baseline, Weeks 2, 4, 8, and 12]

    SCORAD: scoring index for AD combining extent, severity, subjective symptoms. Extent (A): rule of 9 was used to calculate BSA affected by AD as a % of whole BSA for each body region- head and neck 9%; upper limbs 9% each; lower limbs 18% each; anterior trunk 18%; back 18%; 1% for genitals. The score for each body region was added to determine A (0-100). Severity (B): severity of each sign (erythema; edema; oozing; excoriation; skin thickening; dryness) was assessed as none (0), mild (1), moderate (2) or severe (3). The severity scores added to give B (0-18). Subjective symptoms (C): pruritus and sleep loss, each of these 2 were scored by participant/caregiver using VAS where "0" = no itch or no sleeplessness and "10" = the worst imaginable itch or sleeplessness, higher scores worse symptoms. Scores for itch and sleeplessness added to give 'C' (0-20). The SCORAD for an individual was calculated: A/5 + 7*B/2 + C; range from 0 to 103; higher values of SCORAD = worse outcome.

  17. Percent Change From Baseline in Scoring Atopic Dermatitis (SCORAD) Total Score at Week 2, 4, 8 and 12 [Baseline, Weeks 2, 4, 8, and 12]

    SCORAD: scoring index for AD combining extent, severity, subjective symptoms. Extent (A): rule of 9 was used to calculate BSA affected by AD as a % of whole BSA for each body region- head and neck 9%; upper limbs 9% each; lower limbs 18% each; anterior trunk 18%; back 18%; 1% for genitals. The score for each body region was added to determine A (0-100). Severity (B): severity of each sign (erythema; edema; oozing; excoriation; skin thickening; dryness) was assessed as none (0), mild (1), moderate (2) or severe (3). The severity scores added to give B (0-18). Subjective symptoms (C): pruritus and sleep loss, each of these 2 were scored by participant/caregiver using VAS where "0" = no itch or no sleeplessness and "10" = the worst imaginable itch or sleeplessness, higher scores worse symptoms. Scores for itch and sleeplessness added to give 'C' (0-20). The SCORAD for an individual was calculated: A/5 + 7*B/2 + C; range from 0 to 103; higher values of SCORAD = worse outcome.

Eligibility Criteria

Criteria

Ages Eligible for Study:
12 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • 12 years of age or older with a minimum body weight of 40 kg

  • Diagnosis of atopic dermatitis (AD) for at least 1 year and current status of moderate to severe disease (>= the following scores: BSA 10%, IGA 3, EASI 16, Pruritus NRS severity 4)

  • Recent history of inadequate response or inability to tolerate topical AD treatments or require systemic treatments for AD control

Exclusion Criteria:
  • Unwilling to discontinue current AD medications prior to the study or require treatment with prohibited medications during the study

  • Prior treatment with JAK inhibitors

  • Other active nonAD inflammatory skin diseases or conditions affecting skin

  • Medical history including thrombocytopenia, coagulopathy or platelet dysfunction, Q wave interval abnormalities, current or history of certain infections, cancer, lymphoproliferative disorders and other medical conditions at the discretion of the investigator

  • Pregnant or breastfeeding women, or women of childbearing potential who are unwilling to use contraception

Contacts and Locations

Locations

Site City State Country Postal Code
1 Emmaus Research Center, Inc. Anaheim California United States 92804
2 Advanced Research Center, Inc. - Los Alamitos Site Los Alamitos California United States 90720
3 Peninsula Research Associates, Inc. Rolling Hills Estates California United States 90274
4 Clinical Science Institute Santa Monica California United States 90404
5 Asthma and Allergy Associates, PC Colorado Springs Colorado United States 80907
6 Colorado Springs Dermatology Clinic, PC Colorado Springs Colorado United States 80910
7 Olympian Clinical Research Clearwater Florida United States 33756
8 Clinical Neuroscience Solutions, Inc. Jacksonville Florida United States 32256
9 Precision Imaging Jacksonville Florida United States 32256
10 Solutions Through Advanced Research, Inc. Jacksonville Florida United States 32256
11 Clinical Neuroscience Solutions, Inc Orlando Florida United States 32801
12 ForCare Clinical Research Tampa Florida United States 33613
13 Imaging Center of Idaho Caldwell Idaho United States 83605
14 ASR, LLC Nampa Idaho United States 83687
15 Meridian Clinical Research Baton Rouge Louisiana United States 70808
16 Massachusetts General Hospital Boston Massachusetts United States 02114
17 MediSearch Clinical Trials Saint Joseph Missouri United States 64506
18 Sadick Research Group New York New York United States 10075
19 PMG Research of Wilmington, LLC Wilmington North Carolina United States 28411
20 The Ohio State University Wexner Medical Center Columbus Ohio United States 43210
21 The Ohio State University Dermatology East Gahanna Ohio United States 43230
22 Tanenbaum Dermatology Center Memphis Tennessee United States 38117
23 Clinical Neuroscience Solutions, Inc. Memphis Tennessee United States 38119
24 Austin Institute for Clinical Research, Inc. - Central Austin Texas United States 78705
25 Center for Clinical Studies, LTD. LLP Houston Texas United States 77004
26 West Houston Dermatology, PA Houston Texas United States 77082
27 Summit Clinical Research, LLC Franklin Virginia United States 23851
28 Virginia Dermatology and Skin Cancer Center Norfolk Virginia United States 23502
29 Australian Clinical Research Network Maroubra New South Wales Australia 2035
30 The Skin Centre Benowa Queensland Australia 4217
31 Veracity Clinical Research Pty Ltd Woolloongabba Queensland Australia 4102
32 Skin and Cancer Foundation Inc Carlton Victoria Australia
33 Sinclair Dermatology East Melbourne Victoria Australia 3002
34 Royal Melbourne Hospital Parkville Victoria Australia 3050
35 The Royal Children's Hospital (RCH) Parkville Victoria Australia 3052
36 Medical Centre Asklepii OOD Dupnitsa Bulgaria 2600
37 MHAT Dr. Tota Venkova AD Gabrovo Bulgaria 5300
38 "Acibadem City Clinic MHAT Tokuda" EAD Sofia Bulgaria 1407
39 "DCC Aleksandrovska" EOOD Sofia Bulgaria 1431
40 Diagnostic Consultative Center Fokus-5 Sofia Bulgaria 1463
41 Medical Centre Synexus Sofia EOOD Sofia Bulgaria 1784
42 University of British Columbia Department of Dermatology and Skin Science Vancouver British Columbia Canada V5Z 4E8
43 Winnipeg Clinic Winnipeg Manitoba Canada R3C 0N2
44 North York Research Inc. North York Ontario Canada M2M 4J5
45 Oshawa Clinic Dermatology Trials Oshawa Ontario Canada L1H 1B9
46 York Dermatology Clinic and Research Centre Richmond Hill Ontario Canada L4C 9M7
47 Research Toronto Toronto Ontario Canada M4W 2N2
48 Diex Recherche Sherbrooke Inc. Sherbrooke Quebec Canada J1L 0H8
49 Peking University First Hospital Beijing Beijing China 100034
50 Beijing Friendship Hospital, Capital Medical University Beijing Beijing China 100050
51 The Second Affiliated Hospital of Army Medical University, PLA Chongqing Chongqing China 400037
52 The University of Hong Kong - Shenzhen Hospital Shenzhen Guangdong China 518053
53 Tianjin Medical University General Hospital, Dermatological Department Tianjin China 300052
54 Dermamedica S.R.O. Nachod Czechia 547 01
55 Oblastni nemocnice Nachod a.s., Radiodiagnosticke oddeleni Nachod Czechia 547 01
56 Lekarna u Stribrneho orla Nachod Czechia 54701
57 Sanatorium profesora Arenbergera Praha 1 Czechia 11000
58 Lekarna U sv. Ignace Praha 2 Czechia 120 00
59 Dermatologicka Ambulance Svitavy Czechia 568 02
60 Lekarna na Hranicni Svitavy Czechia 56802
61 Fachklinik Bad Bentheim Bad Bentheim Germany 48455
62 ISA GmbH Berlin Germany 10789
63 Fachärztliche Gemeinschaftspraxis für Dermatologie und Venerologie, Allergologie, Blankenfelde-Mahlow Germany 15831
64 IKF Pneumologie GmbH & Co KG Frankfurt Germany 60596
65 Klinische Forschung Hamburg GmbH Hamburg Germany 20253
66 Universitaet Muenster Münster Germany 48149
67 Klinische Forschung Schwerin GmbH Schwerin Germany 19055
68 SE AOK Bor, Nemikortani es Boronkologiai Klinika Budapest Hungary 1085
69 Budapest Főváros XIX. Kerületi Önkormányzat Kispesti Egészsegügyi Intézete Budapest Hungary 1195
70 Debreceni Egyetem Klinikai Kozpont Debrecen Hungary 4032
71 ALLERGO-DERM BAKOS Kft. Szolnok Hungary 5000
72 Queen's square Medical Facilities Queen's square Dermatology and Allergology Yokohama Kanagawa Japan 220-6208
73 Noguchi Dermatology Clinic Kamimashiki-gun Kumamoto Japan 861-3101
74 Yoshioka Dermatology Clinic Neyagawa Osaka Japan 572-0838
75 Kume Clinic Sakai Osaka Japan 593-8324
76 Sumire Dermatology Clinic Edogawa-ku Tokyo Japan 133-0057
77 Matsuyama Dermatology Clinic Nakano-ku Tokyo Japan 165-0026
78 Hoshikuma Dermatology・Allergy Clinic Fukuoka Japan 814-0171
79 Sanrui Hifuka Saitama Japan 330-0854
80 Soon Chun Hyang University Bucheon Hospital Bucheon-si Gyeonggi-do Korea, Republic of 14584
81 The Catholic University of Korea, Incheon St.Mary's Hospital Bupyeong-gu Incheon Korea, Republic of 21431
82 Inha University Hospital Jung-gu Incheon Korea, Republic of 22332
83 Kyungpook National University Hospital Daegu Korea, Republic of 41944
84 Chonnam National University Hospital Gwangju Korea, Republic of 61469
85 Korea University Anam Hospital Seoul Korea, Republic of 02841
86 Severance Hospital, Yonsei Univ. Health System Seoul Korea, Republic of 03722
87 The Catholic University of Korea, Seoul St. Mary's Hospital Seoul Korea, Republic of 06591
88 Chung-Ang University Hospital Seoul Korea, Republic of 06973
89 Hallym university Kangnam Sacred Heart Hospital Seoul Korea, Republic of 07441
90 Selga Freiberga private practice in dermatovenerology and cosmetology Jelgava Latvia LV-3001
91 Riga 1st Hospital, Clinic for Dermatology and STD Riga Latvia LV-1001
92 Aesthetic dermatology clinic of Prof. J. Kisis Riga Latvia LV-1003
93 Health Centre 4 Ltd. Diagnostics Centre Riga Latvia LV-1003
94 Health Centre 4 Ltd Riga Latvia LV-1013
95 NZOZ Specjalistyczny Osrodek Dermatologiczny DERMAL s.c. Bialystok Poland 15-453
96 KLIMED Marek Klimkiewicz Białystok Poland 15-704
97 Centrum Nowoczesnych Terapii "DOBRY LEKARZ" sp. z o. o. Krakow Poland 31-011
98 Centrum Badań Klinicznych JCI Kraków Poland 30-348
99 Krakowskie Centrum Medyczne Sp. z o.o. Kraków Poland 31-501
100 Centrum Terapii Wspolczesnej J.M. Jasnorzewska Spolka Komandytowo-Akcyjna Lodz Poland 90-242
101 KO-MED Centra Kliniczne Lublin II Lublin Poland 20-362
102 Clinical Research Center Sp. z o.o. MEDIC-R Sp. k. Poznan Poland 60-848
103 Twoja Przychodnia - Szczecinskie Centrum Medyczne Szczecin Poland 71-434
104 Synexus Polska Sp. z o. o. Oddzial w Warszawie Warszawa Poland 01-192
105 Centrum Medyczne AMED Warszawa Poland 01-518
106 MTZ Clinical Research Sp. z o.o. Warszawa Poland 02-106
107 Klinika Ambroziak Sp. z o.o. Warszawa Poland 02-758
108 Synexus Polska Sp. z o.o. Oddzial we Wroclawiu Wroclaw Poland 50-381
109 Lukasz Matusiak "4HEALTH" Wrocław Poland 50-566
110 Plymouth Hospitals NHS Trust, Derriford Hospital Plymouth Devon United Kingdom PL6 8DH
111 MAC Clinical Research Blackpool Lancashire United Kingdom FY2 0JH
112 MAC Clinical Research Ltd Cannock South Staffordshire United Kingdom WS11 0BN
113 Barnsley Hospital NHS Foundation Trust Barnsley South Yorkshire United Kingdom S75 2EP
114 University Hospital Bristol NHS Foundation Trust Bristol United Kingdom BS2 8HW
115 MAC Clinical Research Ltd Manchester United Kingdom M13 9NQ

Sponsors and Collaborators

  • Pfizer

Investigators

  • Study Director: Pfizer CT.gov Call Center, Pfizer

Study Documents (Full-Text)

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT03575871
Other Study ID Numbers:
  • B7451013
  • MONO-2
  • 2018-001136-21
First Posted:
Jul 3, 2018
Last Update Posted:
Apr 21, 2020
Last Verified:
Apr 1, 2020
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Pfizer
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details Participants with age greater than or equal to (>=) 12 years with moderate to severe atopic dermatitis (AD) and a body weight of >=40 kilograms were enrolled in the study. Eligible participants had an option to enter into a long-term extension (LTE) study after completing 12 weeks of treatment in this study.
Pre-assignment Detail This study was conducted from 29-June-2018 to 13-Aug-2019 at 106 sites in 13 countries.
Arm/Group Title PF-04965842 100 mg PF-04965842 200 mg Placebo
Arm/Group Description Participants were randomized to receive a tablet of PF-04965842 (abrocitinib) 100 milligrams (mg) and a tablet of matching placebo orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive PF-04965842 200 mg (2 tablets of 100 mg each) orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive 2 tablets of placebo matched to PF-04965842 100 mg orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug.
Period Title: Overall Study
STARTED 158 155 78
COMPLETED 137 141 52
NOT COMPLETED 21 14 26

Baseline Characteristics

Arm/Group Title PF-04965842 100 mg PF-04965842 200 mg Placebo Total
Arm/Group Description Participants were randomized to receive a tablet of PF-04965842 (abrocitinib) 100 milligrams (mg) and a tablet of matching placebo orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive PF-04965842 200 mg (2 tablets of 100 mg each) orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive 2 tablets of placebo matched to PF-04965842 100 mg orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Total of all reporting groups
Overall Participants 158 155 78 391
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
37.4
(15.8)
33.5
(14.7)
33.4
(13.8)
35.1
(15.1)
Sex: Female, Male (Count of Participants)
Female
64
40.5%
67
43.2%
31
39.7%
162
41.4%
Male
94
59.5%
88
56.8%
47
60.3%
229
58.6%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino
3
1.9%
4
2.6%
2
2.6%
9
2.3%
Not Hispanic or Latino
154
97.5%
150
96.8%
73
93.6%
377
96.4%
Unknown or Not Reported
1
0.6%
1
0.6%
3
3.8%
5
1.3%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
0
0%
0
0%
0
0%
0
0%
Asian
46
29.1%
54
34.8%
29
37.2%
129
33%
Native Hawaiian or Other Pacific Islander
0
0%
0
0%
0
0%
0
0%
Black or African American
9
5.7%
6
3.9%
6
7.7%
21
5.4%
White
101
63.9%
91
58.7%
40
51.3%
232
59.3%
More than one race
1
0.6%
2
1.3%
1
1.3%
4
1%
Unknown or Not Reported
1
0.6%
2
1.3%
2
2.6%
5
1.3%

Outcome Measures

1. Primary Outcome
Title Percentage of Participants Achieving Investigator's Global Assessment (IGA) Response of Clear (0) or Almost Clear (1) and Greater Than or Equal to (>=) 2 Points Improvement From Baseline at Week 12
Description IGA assesses severity of AD on a 5 point scale (0 to 4, higher scores indicate more severity). Scores: 0= clear, no inflammatory signs of AD; 1= almost clear, AD not fully cleared- light pink residual lesions (except post-inflammatory hyperpigmentation), just perceptible erythema, papulation/induration lichenification, excoriation, and no oozing/crusting; 2= mild AD with light red lesions, slight but definite erythema, papulation/induration, lichenification, excoriation and no oozing/crusting; 3= moderate AD with red lesions, moderate erythema, papulation/induration, lichenification, excoriation and slight oozing/crusting; 4= severe AD with deep dark red lesions, severe erythema, papulation/induration, lichenification, excoriation and moderate to severe oozing/crusting. Assessment excluded soles, palms and scalp.
Time Frame Baseline, Week 12

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomized participants who received at least 1 dose of study medication. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title PF-04965842 100 mg PF-04965842 200 mg Placebo
Arm/Group Description Participants were randomized to receive a tablet of PF-04965842 (abrocitinib) 100 milligrams (mg) and a tablet of matching placebo orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive PF-04965842 200 mg (2 tablets of 100 mg each) orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive 2 tablets of placebo matched to PF-04965842 100 mg orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug.
Measure Participants 155 155 77
Number (95% Confidence Interval) [percentage of participants]
28.4
18%
38.1
24.6%
9.1
11.7%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments The estimate and confidence interval (CI) for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0008
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 19.3
Confidence Interval (2-Sided) 95%
9.6 to 29.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 28.7
Confidence Interval (2-Sided) 95%
18.6 to 38.8
Parameter Dispersion Type:
Value:
Estimation Comments
2. Primary Outcome
Title Percentage of Participants Achieving Eczema Area and Severity Index Response of >=75 Percent (%) Improvement (EASI-75) From Baseline at Week 12
Description EASI evaluates severity of participants AD (excluded scalp, palms, soles) based on severity of AD clinical signs and % of body surface area (BSA) affected. Severity of clinical signs of AD (erythema, induration/papulation, excoriation and lichenification) scored separately for each of 4 body regions (head and neck, upper limbs, trunk [including axillae and groin] and lower limbs [including buttocks] on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score was based upon % BSA with AD in body region: 0 (0%), 1 (>0 to <10%), 2 (10 to <30%), 3 (30 to <50%), 4 (50 to <70%), 5 (70 to <90%) and 6 (90 to 100%). Total EASI score =0.1*Ah*(Eh+Ih+Exh+Lh) + 0.2*Au*(Eu+Iu+ExU+Lu) + 0.3*At*(Et+It+Ext+Lt) + 0.4*Al*(El+Il+Exl+Ll); A = EASI area score; E = erythema; I = induration/papulation; Ex = excoriation; L = lichenification; h = head and neck; u = upper limbs; t = trunk; l = lower limbs. Total EASI score ranged from 0.0 to 72.0, higher scores = greater severity of AD.
Time Frame Baseline, Week 12

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomized participants who received at least 1 dose of study medication. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title PF-04965842 100 mg PF-04965842 200 mg Placebo
Arm/Group Description Participants were randomized to receive a tablet of PF-04965842 (abrocitinib) 100 milligrams (mg) and a tablet of matching placebo orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive PF-04965842 200 mg (2 tablets of 100 mg each) orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive 2 tablets of placebo matched to PF-04965842 100 mg orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug.
Measure Participants 155 154 77
Number (95% Confidence Interval) [percentage of participants]
44.5
28.2%
61.0
39.4%
10.4
13.3%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 33.9
Confidence Interval (2-Sided) 95%
23.3 to 44.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 50.5
Confidence Interval (2-Sided) 95%
40.0 to 60.9
Parameter Dispersion Type:
Value:
Estimation Comments
3. Secondary Outcome
Title Percentage of Participants Who Achieved at Least 4-Points Improvement From Baseline in the Numerical Rating Scale (NRS) for Severity of Pruritus at Weeks 2, 4, 8 and 12
Description Participants were asked to assess their worst pruritus/itching due to AD over the past 24 hours on an NRS scale ranged from 0 (no itching) to 10 (worst possible itching), where higher scores indicated greater severity.
Time Frame Baseline, Weeks 2, 4, 8 and 12

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomized participants who received at least 1 dose of study medication. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title PF-04965842 100 mg PF-04965842 200 mg Placebo
Arm/Group Description Participants were randomized to receive a tablet of PF-04965842 (abrocitinib) 100 milligrams (mg) and a tablet of matching placebo orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive PF-04965842 200 mg (2 tablets of 100 mg each) orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive 2 tablets of placebo matched to PF-04965842 100 mg orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug.
Measure Participants 156 153 76
Week 2
23.1
14.6%
35.3
22.8%
3.9
5%
Week 4
31.4
19.9%
50.3
32.5%
3.9
5%
Week 8
39.1
24.7%
51.6
33.3%
11.8
15.1%
Week 12
39.7
25.1%
49.0
31.6%
10.5
13.5%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 2: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 19.2
Confidence Interval (2-Sided) 95%
11.0 to 27.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 2: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 31.2
Confidence Interval (2-Sided) 95%
22.3 to 40.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 4: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 27.5
Confidence Interval (2-Sided) 95%
18.9 to 36.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 4: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 46.4
Confidence Interval (2-Sided) 95%
37.2 to 55.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 8: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 27.4
Confidence Interval (2-Sided) 95%
16.8 to 38.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 8: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 39.8
Confidence Interval (2-Sided) 95%
28.9 to 50.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 12: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 29.3
Confidence Interval (2-Sided) 95%
18.9 to 39.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 12: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 38.6
Confidence Interval (2-Sided) 95%
28.1 to 49.1
Parameter Dispersion Type:
Value:
Estimation Comments
4. Secondary Outcome
Title Change From Baseline in Pruritus and Symptoms Assessment for Atopic Dermatitis (PSAAD) Total Score at Week 12
Description PSAAD is a daily participant reported symptom electronic diary. Participants rated their symptoms of AD over the past 24 hours, using 11 items (itchy skin, painful skin, dry skin, flaky skin, cracked skin, bumpy skin, red skin, discolored skin [lighter or darker], bleeding from skin, seeping or oozing fluid from skin [other than blood], and skin swelling). Participant had to think about all the areas of their body affected by their skin condition and chose the number that best described their experience for each of the 11 items, from 0 (no symptoms) to 10 (extreme symptoms), higher scores signified worse skin condition. Total PSAAD score = arithmetic mean of 11 items, 0 (no symptoms) to 10 (extreme symptoms), where higher score = worse skin condition.
Time Frame Baseline, Week 12

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomized participants who received at least 1 dose of study medication. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title PF-04965842 100 mg PF-04965842 200 mg Placebo
Arm/Group Description Participants were randomized to receive a tablet of PF-04965842 (abrocitinib) 100 milligrams (mg) and a tablet of matching placebo orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive PF-04965842 200 mg (2 tablets of 100 mg each) orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive 2 tablets of placebo matched to PF-04965842 100 mg orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug.
Measure Participants 156 155 77
Least Squares Mean (95% Confidence Interval) [units on a scale]
-2.4
-3.0
-0.8
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Mixed Model Repeated Measure (MMRM) contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category), baseline value and an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -1.7
Confidence Interval (2-Sided) 95%
-2.3 to -1.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Mixed Model Repeated Measure (MMRM) contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category), baseline value and an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -2.2
Confidence Interval (2-Sided) 95%
-2.8 to -1.6
Parameter Dispersion Type:
Value:
Estimation Comments
5. Secondary Outcome
Title Time to Achieve >=4 Points Improvement From Baseline in Numerical Rating Scale (NRS) for Severity of Pruritus
Description Participants were asked to assess their worst itching/pruritus due to AD over the past 24 hours on an NRS scale ranged from 0 (no itching) to 10 (worst itch imaginable), where higher scores indicated greater severity.
Time Frame Baseline up to Day 15

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomized participants who received at least 1 dose of study medication. Here, "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
Arm/Group Title PF-04965842 100 mg PF-04965842 200 mg Placebo
Arm/Group Description Participants were randomized to receive a tablet of PF-04965842 (abrocitinib) 100 milligrams (mg) and a tablet of matching placebo orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive PF-04965842 200 mg (2 tablets of 100 mg each) orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive 2 tablets of placebo matched to PF-04965842 100 mg orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug.
Measure Participants 90 110 20
Median (Inter-Quartile Range) [days]
58.0
29.0
112.0
6. Secondary Outcome
Title Percentage of Participants Achieving Eczema Area and Severity Index Response of >=75% Improvement (EASI-75) From Baseline at Weeks 2, 4 and 8
Description EASI evaluates severity of participants' AD (excluded scalp, palms, soles) based on severity of AD clinical signs and % of body surface area (BSA) affected. Severity of clinical signs of AD (erythema, induration/papulation, excoriation and lichenification) scored separately for each of 4 body regions (head and neck, upper limbs, trunk [including axillae and groin)] and lower limbs [including buttocks]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score was based upon % BSA with AD in body region: 0 (0%), 1 (>0 to <10%), 2 (10 to <30%), 3 (30 to <50%), 4 (50 to <70%), 5 (70 to <90%) and 6 (90 to 100%). Total EASI score =0.1*Ah*(Eh+Ih+Exh+Lh) + 0.2*Au*(Eu+Iu+ExU+Lu) + 0.3*At*(Et+It+Ext+Lt) + 0.4*Al*(El+Il+Exl+Ll); A = EASI area score; E = erythema; I = induration/papulation; Ex = excoriation; L = lichenification; h = head and neck; u = upper limbs; t = trunk; l = lower limbs. Total EASI score ranged from 0.0 to 72.0, higher scores = greater severity of AD.
Time Frame Baseline, Weeks 2, 4, and 8

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomized participants who received at least 1 dose of study medication. Here, "Number Analyzed" signifies the number of participants evaluable at specified time points.
Arm/Group Title PF-04965842 100 mg PF-04965842 200 mg Placebo
Arm/Group Description Participants were randomized to receive a tablet of PF-04965842 (abrocitinib) 100 milligrams (mg) and a tablet of matching placebo orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive PF-04965842 200 mg (2 tablets of 100 mg each) orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive 2 tablets of placebo matched to PF-04965842 100 mg orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug.
Measure Participants 158 155 78
Week 2
10.2
6.5%
24.3
15.7%
1.3
1.7%
Week 4
26.5
16.8%
51.0
32.9%
6.5
8.3%
Week 8
43.3
27.4%
60.4
39%
12.8
16.4%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 2: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0150
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 8.8
Confidence Interval (2-Sided) 95%
2.8 to 14.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 2: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 22.7
Confidence Interval (2-Sided) 95%
15.0 to 30.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 4: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0004
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 20.0
Confidence Interval (2-Sided) 95%
10.9 to 29.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 4: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 44.3
Confidence Interval (2-Sided) 95%
34.8 to 53.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 8: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 30.4
Confidence Interval (2-Sided) 95%
19.7 to 41.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 8: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 47.4
Confidence Interval (2-Sided) 95%
36.8 to 58.0
Parameter Dispersion Type:
Value:
Estimation Comments
7. Secondary Outcome
Title Percentage of Participants Achieving IGA Response of Clear (0) or Almost Clear (1) and >=2 Points Improvement From Baseline at Weeks 2, 4 and 8
Description IGA assesses severity of AD on a 5 point scale (0 to 4, higher scores indicate more severity). Scores: 0= clear, no inflammatory signs of AD; 1= almost clear, AD not fully cleared- light pink residual lesions (except post-inflammatory hyperpigmentation), just perceptible erythema, papulation/induration lichenification, excoriation, and no oozing/crusting; 2= mild AD with light red lesions, slight but definite erythema, papulation/induration, lichenification, excoriation and no oozing/crusting; 3= moderate AD with red lesions, moderate erythema, papulation/induration, lichenification, excoriation and slight oozing/crusting; 4= severe AD with deep dark red lesions, severe erythema, papulation/induration, lichenification, excoriation and moderate to severe oozing/crusting. Assessment excluded sole, palms and scalp.
Time Frame Baseline, Weeks 2, 4, and 8

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomized participants who received at least 1 dose of study medication. Here, "Number Analyzed" signifies the number of participants evaluable at specified time points.
Arm/Group Title PF-04965842 100 mg PF-04965842 200 mg Placebo
Arm/Group Description Participants were randomized to receive a tablet of PF-04965842 (abrocitinib) 100 milligrams (mg) and a tablet of matching placebo orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive PF-04965842 200 mg (2 tablets of 100 mg each) orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive 2 tablets of placebo matched to PF-04965842 100 mg orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug.
Measure Participants 158 155 78
Week 2
5.1
3.2%
14.5
9.4%
0
0%
Week 4
14.2
9%
33.3
21.5%
1.3
1.7%
Week 8
22.3
14.1%
37.7
24.3%
10.3
13.2%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 2: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0459
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 5.1
Confidence Interval (2-Sided) 95%
0.2 to 10.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 2: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0005
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 14.2
Confidence Interval (2-Sided) 95%
7.8 to 20.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 4: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0019
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 12.9
Confidence Interval (2-Sided) 95%
6.3 to 19.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 4: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 31.8
Confidence Interval (2-Sided) 95%
23.6 to 39.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 8: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0246
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 11.9
Confidence Interval (2-Sided) 95%
2.4 to 21.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 8: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 26.9
Confidence Interval (2-Sided) 95%
17.0 to 36.9
Parameter Dispersion Type:
Value:
Estimation Comments
8. Secondary Outcome
Title Percentage of Participants Achieving Investigator's Global Assessment (IGA) Response of Clear (0) at Week 2, 4, 8 and 12
Description IGA assesses severity of AD on a 5 point scale (0 to 4, higher scores indicate more severity). Scores: 0= clear, no inflammatory signs of AD; 1= almost clear, AD not fully cleared- light pink residual lesions (except post-inflammatory hyperpigmentation), just perceptible erythema, papulation/induration lichenification, excoriation, and no oozing/crusting; 2= mild AD with light red lesions, slight but definite erythema, papulation/induration, lichenification, excoriation and no oozing/crusting; 3= moderate AD with red lesions, moderate erythema, papulation/induration, lichenification, excoriation and slight oozing/crusting; 4= severe AD with deep dark red lesions, severe erythema, papulation/induration, lichenification, excoriation and moderate to severe oozing/crusting. Assessment excluded soles, palms and scalp.
Time Frame Weeks 2, 4, 8 and 12

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomized participants who received at least 1 dose of study medication. Here, "Number Analyzed" signifies number of participants evaluable at the specified time points.
Arm/Group Title PF-04965842 100 mg PF-04965842 200 mg Placebo
Arm/Group Description Participants were randomized to receive a tablet of PF-04965842 (abrocitinib) 100 milligrams (mg) and a tablet of matching placebo orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive PF-04965842 200 mg (2 tablets of 100 mg each) orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive 2 tablets of placebo matched to PF-04965842 100 mg orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug.
Measure Participants 158 155 78
Week 2
0
0%
2.0
1.3%
0
0%
Week 4
1.9
1.2%
4.6
3%
0
0%
Week 8
1.3
0.8%
4.5
2.9%
0
0%
Week 12
5.2
3.3%
6.5
4.2%
0
0%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 2: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 0.0
Confidence Interval (2-Sided) 95%
-3.7 to 3.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 2: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.2262
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 1.9
Confidence Interval (2-Sided) 95%
-2.2 to 6.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 4: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.2223
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 1.9
Confidence Interval (2-Sided) 95%
-2.2 to 6.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 4: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0597
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 4.5
Confidence Interval (2-Sided) 95%
-0.2 to 9.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 8: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.3207
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 1.3
Confidence Interval (2-Sided) 95%
-2.7 to 5.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 8: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0586
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 4.5
Confidence Interval (2-Sided) 95%
-0.2 to 9.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 12: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0419
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 5.2
Confidence Interval (2-Sided) 95%
0.3 to 10.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 12: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0244
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 6.3
Confidence Interval (2-Sided) 95%
1.2 to 11.4
Parameter Dispersion Type:
Value:
Estimation Comments
9. Secondary Outcome
Title Percentage of Participants Achieving Eczema Area and Severity Index Response of >=50% Improvement (EASI-50) From Baseline at Weeks 2, 4, 8 and 12
Description EASI evaluates severity of participants' AD (excluded scalp, palms, soles) based on severity of AD clinical signs and % of body surface area (BSA) affected. Severity of clinical signs of AD (erythema, induration/papulation, excoriation and lichenification) scored separately for each of 4 body regions (head and neck, upper limbs, trunk [including axillae and groin)] and lower limbs [including buttocks]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score was based upon % BSA with AD in body region: 0 (0%), 1 (>0 to <10%), 2 (10 to <30%), 3 (30 to <50%), 4 (50 to <70%), 5 (70 to <90%) and 6 (90 to 100%). Total EASI score =0.1*Ah*(Eh+Ih+Exh+Lh) + 0.2*Au*(Eu+Iu+ExU+Lu) + 0.3*At*(Et+It+Ext+Lt) + 0.4*Al*(El+Il+Exl+Ll); A = EASI area score; E = erythema; I = induration/papulation; Ex = excoriation; L = lichenification; h = head and neck; u = upper limbs; t = trunk; l = lower limbs. Total EASI score ranged from 0.0 to 72.0, higher scores = greater severity of AD.
Time Frame Baseline, Weeks 2, 4, 8, and 12

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomized participants who received at least 1 dose of study medication. Here, "Number Analyzed" signifies number of participants evaluable at the specified time points.
Arm/Group Title PF-04965842 100 mg PF-04965842 200 mg Placebo
Arm/Group Description Participants were randomized to receive a tablet of PF-04965842 (abrocitinib) 100 milligrams (mg) and a tablet of matching placebo orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive PF-04965842 200 mg (2 tablets of 100 mg each) orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive 2 tablets of placebo matched to PF-04965842 100 mg orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug.
Measure Participants 158 155 78
Week 2
35.7
22.6%
55.3
35.7%
10.5
13.5%
Week 4
58.7
37.2%
78.4
50.6%
28.6
36.7%
Week 8
66.2
41.9%
82.5
53.2%
34.6
44.4%
Week 12
68.4
43.3%
79.9
51.5%
19.5
25%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 2: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 25.0
Confidence Interval (2-Sided) 95%
14.8 to 35.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 2: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 44.2
Confidence Interval (2-Sided) 95%
33.9 to 54.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 4: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 30.2
Confidence Interval (2-Sided) 95%
17.5 to 42.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 4: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 49.8
Confidence Interval (2-Sided) 95%
37.8 to 61.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 8: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 31.5
Confidence Interval (2-Sided) 95%
18.8 to 44.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 8: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 47.6
Confidence Interval (2-Sided) 95%
35.7 to 59.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 12: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 48.7
Confidence Interval (2-Sided) 95%
37.2 to 60.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 12: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 60.1
Confidence Interval (2-Sided) 95%
49.1 to 71.0
Parameter Dispersion Type:
Value:
Estimation Comments
10. Secondary Outcome
Title Percentage of Participants Achieving Eczema Area and Severity Index Response of >=90% Improvement (EASI-90) From Baseline at Weeks 2, 4, 8 and 12
Description EASI evaluates severity of participants' AD (excluded scalp, palms, soles) based on severity of AD clinical signs and % of body surface area (BSA) affected. Severity of clinical signs of AD (erythema, induration/papulation, excoriation and lichenification) scored separately for each of 4 body regions (head and neck, upper limbs, trunk [including axillae and groin)] and lower limbs [including buttocks]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score was based upon % BSA with AD in body region: 0 (0%), 1 (>0 to <10%), 2 (10 to <30%), 3 (30 to <50%), 4 (50 to <70%), 5 (70 to <90%) and 6 (90 to 100%). Total EASI score =0.1*Ah*(Eh+Ih+Exh+Lh) + 0.2*Au*(Eu+Iu+ExU+Lu) + 0.3*At*(Et+It+Ext+Lt) + 0.4*Al*(El+Il+Exl+Ll); A = EASI area score; E = erythema; I = induration/papulation; Ex = excoriation; L = lichenification; h = head and neck; u = upper limbs; t = trunk; l = lower limbs. Total EASI score ranged from 0.0 to 72.0, higher scores = greater severity of AD.
Time Frame Baseline, Weeks 2, 4, 8, and 12

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomized participants who received at least 1 dose of study medication. Here, "Number Analyzed" signifies number of participants evaluable at the specified time points.
Arm/Group Title PF-04965842 100 mg PF-04965842 200 mg Placebo
Arm/Group Description Participants were randomized to receive a tablet of PF-04965842 (abrocitinib) 100 milligrams (mg) and a tablet of matching placebo orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive PF-04965842 200 mg (2 tablets of 100 mg each) orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive 2 tablets of placebo matched to PF-04965842 100 mg orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug.
Measure Participants 158 155 78
Week 2
2.5
1.6%
9.2
5.9%
0
0%
Week 4
9.7
6.1%
22.9
14.8%
0
0%
Week 8
17.2
10.9%
34.4
22.2%
2.6
3.3%
Week 12
23.9
15.1%
37.7
24.3%
3.9
5%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 2: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.1623
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 2.5
Confidence Interval (2-Sided) 95%
-1.7 to 6.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 2: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0070
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 9.1
Confidence Interval (2-Sided) 95%
3.4 to 14.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 4: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0049
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 9.7
Confidence Interval (2-Sided) 95%
4.0 to 15.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 4: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 22.9
Confidence Interval (2-Sided) 95%
15.5 to 30.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 8: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0013
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 14.6
Confidence Interval (2-Sided) 95%
7.2 to 22.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 8: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 31.6
Confidence Interval (2-Sided) 95%
23.1 to 40.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 12: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 20.1
Confidence Interval (2-Sided) 95%
11.9 to 28.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 12: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 33.5
Confidence Interval (2-Sided) 95%
24.6 to 42.5
Parameter Dispersion Type:
Value:
Estimation Comments
11. Secondary Outcome
Title Percentage of Participants Achieving Eczema Area and Severity Index Response of 100% Improvement (EASI-100) From Baseline at Weeks 2, 4, 8 and 12
Description EASI evaluates severity of participant's AD (excluded scalp, palms, soles) based on severity of AD clinical signs and % of body surface area (BSA) affected. Severity of clinical signs of AD (erythema, induration/papulation, excoriation and lichenification) scored separately for each of 4 body regions (head and neck, upper limbs, trunk [including axillae and groin] and lower limbs [including buttocks]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score was based upon % BSA with AD in body region: 0 (0%), 1 (>0 to <10%), 2 (10 to <30%), 3 (30 to <50%), 4 (50 to <70%), 5 (70 to <90%) and 6 (90 to 100%). Total EASI score =0.1*Ah*(Eh+Ih+Exh+Lh) + 0.2*Au*(Eu+Iu+ExU+Lu) + 0.3*At*(Et+It+Ext+Lt) + 0.4*Al*(El+Il+Exl+Ll); A = EASI area score; E = erythema; I = induration/papulation; Ex = excoriation; L = lichenification; h = head and neck; u = upper limbs; t = trunk; l = lower limbs. Total EASI score ranged from 0.0 to 72.0, higher scores = greater severity of AD.
Time Frame Baseline, Weeks 2, 4, 8, and 12

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomized participants who received at least 1 dose of study medication. Here, "Number Analyzed" signifies number of participants evaluable at specified time points.
Arm/Group Title PF-04965842 100 mg PF-04965842 200 mg Placebo
Arm/Group Description Participants were randomized to receive a tablet of PF-04965842 (abrocitinib) 100 milligrams (mg) and a tablet of matching placebo orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive PF-04965842 200 mg (2 tablets of 100 mg each) orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive 2 tablets of placebo matched to PF-04965842 100 mg orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug.
Measure Participants 158 155 78
Week 2
0
0%
1.3
0.8%
0
0%
Week 4
1.3
0.8%
3.9
2.5%
0
0%
Week 8
1.3
0.8%
3.9
2.5%
0
0%
Week 12
5.2
3.3%
7.1
4.6%
0
0%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 2: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 0.0
Confidence Interval (2-Sided) 95%
-3.7 to 3.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 2: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.3261
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 1.3
Confidence Interval (2-Sided) 95%
-2.8 to 5.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 4: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.3207
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 1.3
Confidence Interval (2-Sided) 95%
-2.7 to 5.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 4: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0810
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 3.9
Confidence Interval (2-Sided) 95%
-0.8 to 8.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 8: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.3207
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 1.3
Confidence Interval (2-Sided) 95%
-2.7 to 5.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 8: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0810
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 3.8
Confidence Interval (2-Sided) 95%
-0.7 to 8.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 12: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0419
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 5.2
Confidence Interval (2-Sided) 95%
0.3 to 10.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 12: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0180
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 7.0
Confidence Interval (2-Sided) 95%
1.8 to 12.2
Parameter Dispersion Type:
Value:
Estimation Comments
12. Secondary Outcome
Title Percent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Week 2, 4, 8 and 12
Description EASI evaluates severity of participant's AD (excluded scalp, palms, soles) based on severity of AD clinical signs and % of body surface area (BSA) affected. Severity of clinical signs of AD (erythema, induration/papulation, excoriation and lichenification) scored separately for each of 4 body regions (head and neck, upper limbs, trunk [including axillae and groin] and lower limbs [including buttocks]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score was based upon % BSA with AD in body region: 0 (0%), 1 (>0 to <10%), 2 (10 to <30%), 3 (30 to <50%), 4 (50 to <70%), 5 (70 to <90%) and 6 (90 to 100%). Total EASI score =0.1*Ah*(Eh+Ih+Exh+Lh) + 0.2*Au*(Eu+Iu+ExU+Lu) + 0.3*At*(Et+It+Ext+Lt) + 0.4*Al*(El+Il+Exl+Ll); A = EASI area score; E = erythema; I = induration/papulation; Ex = excoriation; L = lichenification; h = head and neck; u = upper limbs; t = trunk; l = lower limbs. Total EASI score ranged from 0.0 to 72.0, higher scores = greater severity of AD.
Time Frame Baseline, Weeks 2, 4, 8, and 12

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomized participants who received at least 1 dose of study medication.
Arm/Group Title PF-04965842 100 mg PF-04965842 200 mg Placebo
Arm/Group Description Participants were randomized to receive a tablet of PF-04965842 (abrocitinib) 100 milligrams (mg) and a tablet of matching placebo orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive PF-04965842 200 mg (2 tablets of 100 mg each) orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive 2 tablets of placebo matched to PF-04965842 100 mg orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug.
Measure Participants 158 155 78
Change at Week 2
-39.2
-51.3
-9.0
Change at Week 4
-54.3
-69.0
-24.4
Change at Week 8
-59.5
-73.2
-33.0
Change at Week 12
-60.0
-73.3
-28.6
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Change at Week 2: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -30.2
Confidence Interval (2-Sided) 95%
-38.1 to -22.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Change at Week 2: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -42.3
Confidence Interval (2-Sided) 95%
-50.3 to -34.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Change at Week 4: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -29.9
Confidence Interval (2-Sided) 95%
-38.1 to -21.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Change at Week 4: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -44.6
Confidence Interval (2-Sided) 95%
-52.8 to -36.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Change at Week 8: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -26.4
Confidence Interval (2-Sided) 95%
-36.2 to -16.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Change at Week 8: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -40.2
Confidence Interval (2-Sided) 95%
-50.0 to -30.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Change at Week 12: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -31.4
Confidence Interval (2-Sided) 95%
-43.1 to -19.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Change at Week 12: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -44.7
Confidence Interval (2-Sided) 95%
-56.4 to -33.0
Parameter Dispersion Type:
Value:
Estimation Comments
13. Secondary Outcome
Title Change From Baseline in the Percentage Body Surface Area (%BSA) Affected at Week 2, 4, 8, and 12
Description 4 body regions were evaluated: head and neck, upper limbs, trunk (including axillae and groin) and lower limbs (including buttocks). Scalp, palms and soles were excluded. BSA was calculated using handprint method. Number of handprints (size of participant's hand with fingers in a closed position) fitting in the affected area of a body region was estimated. Maximum number of handprints were 10 for head and neck, 20 for upper limbs, 30 for trunk and 40 for lower limbs. Surface area of body region equivalent to 1 handprint: 1 handprint was equal to 10% for head and neck, 5% for upper limbs, 3.33% for trunk and 2.5% for lower limbs. Percent BSA for a body region was calculated as = total number of handprints in a body region * % surface area equivalent to 1 handprint. Overall % BSA for an individual: arithmetic mean of % BSA of all 4 body regions, ranges from 0 to 100%, with higher values representing greater severity of AD.
Time Frame Baseline, Weeks 2, 4, 8, and 12

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomized participants who received at least 1 dose of study medication.
Arm/Group Title PF-04965842 100 mg PF-04965842 200 mg Placebo
Arm/Group Description Participants were randomized to receive a tablet of PF-04965842 (abrocitinib) 100 milligrams (mg) and a tablet of matching placebo orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive PF-04965842 200 mg (2 tablets of 100 mg each) orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive 2 tablets of placebo matched to PF-04965842 100 mg orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug.
Measure Participants 158 155 78
Change at Week 2
-27.8
-35.4
-1.3
Change at Week 4
-45.0
-55.7
-15.3
Change at Week 8
-53.4
-61.1
-20.5
Change at Week 12
-56.4
-65.0
-16.8
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Change at Week 2: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -26.5
Confidence Interval (2-Sided) 95%
-35.5 to -17.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Change at Week 2: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -34.1
Confidence Interval (2-Sided) 95%
-43.1 to -25.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Change at Week 4: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -29.7
Confidence Interval (2-Sided) 95%
-39.0 to -20.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Change at Week 4: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -40.5
Confidence Interval (2-Sided) 95%
-49.8 to -31.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Change at Week 8: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -32.9
Confidence Interval (2-Sided) 95%
-44.6 to -21.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Change at Week 8: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -40.6
Confidence Interval (2-Sided) 95%
-52.2 to -28.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Change at Week 12: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -39.6
Confidence Interval (2-Sided) 95%
-51.8 to -27.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Change at Week 12: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -48.2
Confidence Interval (2-Sided) 95%
-60.4 to -36.0
Parameter Dispersion Type:
Value:
Estimation Comments
14. Secondary Outcome
Title Percentage of Participants With Percentage Body Surface Area (%BSA) (From EASI) < 5% at Weeks 2, 4, 8 and 12
Description 4 body regions were evaluated: head and neck, upper limbs, trunk (including axillae and groin) and lower limbs (including buttocks). Scalp, palms and soles were excluded. BSA was calculated using handprint method. Number of handprints (size of participant's hand with fingers in a closed position) fitting in the affected area of a body region was estimated. Maximum number of handprints were 10 for head and neck, 20 for upper limbs, 30 for trunk and 40 for lower limbs. Surface area of body region equivalent to 1 handprint: 1 handprint was equal to 10% for head and neck, 5% for upper limb, 3.33% for trunk and 2.5% for lower limb. % BSA for a body region was calculated as = total number of handprints in a body region * % surface area equivalent to 1 handprint. Overall % BSA for an individual: arithmetic mean of % BSA of all 4 body regions, ranges from 0 to 100%, with higher values representing greater severity of AD.
Time Frame Weeks 2, 4, 8, and 12

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomized participants who received at least 1 dose of study medication. Here, "Number Analyzed" signifies number of participants evaluable at the specified time points.
Arm/Group Title PF-04965842 100 mg PF-04965842 200 mg Placebo
Arm/Group Description Participants were randomized to receive a tablet of PF-04965842 (abrocitinib) 100 milligrams (mg) and a tablet of matching placebo orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive PF-04965842 200 mg (2 tablets of 100 mg each) orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive 2 tablets of placebo matched to PF-04965842 100 mg orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug.
Measure Participants 158 155 78
Week 2
1.9
1.2%
5.9
3.8%
0
0%
Week 4
6.5
4.1%
17.0
11%
0
0%
Week 8
15.9
10.1%
27.3
17.6%
1.3
1.7%
Week 12
22.6
14.3%
34.4
22.2%
3.9
5%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 2: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.2353
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 1.9
Confidence Interval (2-Sided) 95%
-2.2 to 6.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 2: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0332
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 5.8
Confidence Interval (2-Sided) 95%
0.8 to 10.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 4: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0227
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 6.5
Confidence Interval (2-Sided) 95%
1.4 to 11.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 4: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 16.8
Confidence Interval (2-Sided) 95%
10.1 to 23.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 8: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0008
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 14.5
Confidence Interval (2-Sided) 95%
7.7 to 21.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 8: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 25.8
Confidence Interval (2-Sided) 95%
18.1 to 33.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 12: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0003
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 18.5
Confidence Interval (2-Sided) 95%
10.5 to 26.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 12: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 30.2
Confidence Interval (2-Sided) 95%
21.4 to 39.0
Parameter Dispersion Type:
Value:
Estimation Comments
15. Secondary Outcome
Title Percentage of Participants Achieving Scoring Atopic Dermatitis (SCORAD) Response >=50% Improvement From Baseline at Week 2, 4, 8 and 12
Description SCORAD: scoring index for AD combining extent, severity, subjective symptoms. Extent (A): rule of 9 was used to calculate BSA affected by AD as a % of whole BSA for each body region- head and neck 9%; upper limbs 9% each; lower limbs 18% each; anterior trunk 18%; back 18%; 1% for genitals. The score for each body region was added to determine A (0-100). Severity (B): severity of each sign (erythema; edema; oozing; excoriation; skin thickening; dryness) was assessed as none=0, mild=1, moderate=2,severe=3. The severity scores were summed to give B (0-18). Subjective symptoms (C): pruritus and sleep, each of these 2 were scored by participant/caregiver using visual analogue scale (VAS) where "0" = no itch/no sleeplessness and "10" = the worst imaginable itch/sleeplessness, higher scores=worse symptoms. Scores for itch and sleeplessness were added to give 'C' (0-20). The SCORAD for an individual was calculated: A/5 + 7*B/2 + C; range from 0 to 103; higher values of SCORAD=worse outcome.
Time Frame Baseline, Weeks 2, 4, 8, and 12

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomized participants who received at least 1 dose of study medication. Here, "Number Analyzed" signifies number of participants evaluable at the specified time points.
Arm/Group Title PF-04965842 100 mg PF-04965842 200 mg Placebo
Arm/Group Description Participants were randomized to receive a tablet of PF-04965842 (abrocitinib) 100 milligrams (mg) and a tablet of matching placebo orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive PF-04965842 200 mg (2 tablets of 100 mg each) orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive 2 tablets of placebo matched to PF-04965842 100 mg orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug.
Measure Participants 158 155 78
Week 2
12.7
8%
32.9
21.2%
0
0%
Week 4
36.1
22.8%
60.8
39.2%
7.8
10%
Week 8
43.3
27.4%
61.7
39.8%
15.4
19.7%
Week 12
49.0
31%
62.6
40.4%
12.8
16.4%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 2: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0011
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 12.7
Confidence Interval (2-Sided) 95%
6.5 to 18.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 2: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 32.6
Confidence Interval (2-Sided) 95%
24.6 to 40.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 4: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 28.3
Confidence Interval (2-Sided) 95%
18.5 to 38.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 4: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 52.8
Confidence Interval (2-Sided) 95%
43.2 to 62.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 8: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 28.0
Confidence Interval (2-Sided) 95%
17.0 to 39.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 8: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 46.1
Confidence Interval (2-Sided) 95%
35.2 to 57.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 12: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 36.2
Confidence Interval (2-Sided) 95%
25.4 to 47.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 12: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 49.6
Confidence Interval (2-Sided) 95%
38.9 to 60.3
Parameter Dispersion Type:
Value:
Estimation Comments
16. Secondary Outcome
Title Percentage of Participants Achieving Scoring Atopic Dermatitis (SCORAD) Response >=75% Improvement From Baseline at Week 2, 4, 8 and 12
Description SCORAD: scoring index for AD combining extent, severity, subjective symptoms. Extent (A): rule of 9 was used to calculate BSA affected by AD as a % of whole BSA for each body region- head and neck 9%; upper limbs 9% each; lower limbs 18% each; anterior trunk 18%; back 18%; 1% for genitals. The score for each body region was added to determine A (0-100). Severity (B): severity of each sign (erythema; edema; oozing; excoriation; skin thickening; dryness) was assessed as none (0), mild (1), moderate (2) or severe (3). The severity scores added to give B (0-18). Subjective symptoms (C): pruritus and sleep loss, each of these 2 were scored by participant/caregiver using VAS where "0" = no itch or no sleeplessness and "10" = the worst imaginable itch or sleeplessness, higher scores worse symptoms. Scores for itch and sleeplessness added to give 'C' (0-20). The SCORAD for an individual was calculated: A/5 + 7*B/2 + C; range from 0 to 103; higher values of SCORAD = worse outcome.
Time Frame Baseline, Weeks 2, 4, 8, and 12

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomized participants who received at least 1 dose of study medication. Here, "Number Analyzed" signifies number of participants evaluable at the specified time points.
Arm/Group Title PF-04965842 100 mg PF-04965842 200 mg Placebo
Arm/Group Description Participants were randomized to receive a tablet of PF-04965842 (abrocitinib) 100 milligrams (mg) and a tablet of matching placebo orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive PF-04965842 200 mg (2 tablets of 100 mg each) orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive 2 tablets of placebo matched to PF-04965842 100 mg orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug.
Measure Participants 158 155 78
Week 2
1.9
1.2%
5.3
3.4%
0
0%
Week 4
7.1
4.5%
17.6
11.4%
0
0%
Week 8
11.5
7.3%
26.0
16.8%
0
0%
Week 12
18.7
11.8%
30.3
19.5%
2.6
3.3%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 2: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.2261
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 1.9
Confidence Interval (2-Sided) 95%
-2.2 to 6.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 2: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0451
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 5.2
Confidence Interval (2-Sided) 95%
0.3 to 10.0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 4: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0171
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 7.0
Confidence Interval (2-Sided) 95%
1.8 to 12.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 4: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 17.7
Confidence Interval (2-Sided) 95%
10.9 to 24.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 8: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0018
Comments P-value was adjusted by randomization strata (baseline disease severity and age category)
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 11.5
Confidence Interval (2-Sided) 95%
5.5 to 17.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 8: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category)
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 25.7
Confidence Interval (2-Sided) 95%
18.3 to 33.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 12: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0005
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 16.2
Confidence Interval (2-Sided) 95%
8.8 to 23.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 12: The estimate and CI for difference were calculated based on the weighted average of difference for each randomization stratum using the normal approximation of binomial proportions.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments P-value was adjusted by randomization strata (baseline disease severity and age category).
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Difference in Percentage
Estimated Value 27.6
Confidence Interval (2-Sided) 95%
19.3 to 35.8
Parameter Dispersion Type:
Value:
Estimation Comments
17. Secondary Outcome
Title Change From Baseline in Scoring Atopic Dermatitis (SCORAD) Visual Analogue Scale (VAS) of Itch at Weeks 2, 4, 8 and 12
Description SCORAD: scoring index for AD combining extent, severity, subjective symptoms. Extent (A): rule of 9 was used to calculate BSA affected by AD as a % of whole BSA for each body region- head and neck 9%; upper limbs 9% each; lower limbs 18% each; anterior trunk 18%; back 18%; 1% for genitals. The score for each body region was added to determine A (0-100). Severity (B): severity of each sign (erythema; edema; oozing; excoriation; skin thickening; dryness) was assessed as none (0), mild (1), moderate (2) or severe (3). The severity scores added to give B (0-18). Subjective symptoms (C): pruritus and sleep loss, each of these 2 were scored by participant/caregiver using VAS where "0" = no itch or no sleeplessness and "10" = the worst imaginable itch or sleeplessness, higher scores worse symptoms. Scores for itch and sleeplessness added to give 'C' (0-20). The SCORAD for an individual was calculated: A/5 + 7*B/2 + C; range from 0 to 103; higher values of SCORAD = worse outcome.
Time Frame Baseline, Weeks 2, 4, 8, and 12

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomized participants who received at least 1 dose of study medication.
Arm/Group Title PF-04965842 100 mg PF-04965842 200 mg Placebo
Arm/Group Description Participants were randomized to receive a tablet of PF-04965842 (abrocitinib) 100 milligrams (mg) and a tablet of matching placebo orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive PF-04965842 200 mg (2 tablets of 100 mg each) orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive 2 tablets of placebo matched to PF-04965842 100 mg orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug.
Measure Participants 158 155 78
Change at Week 2
-2.3
-3.5
-0.6
Change at Week 4
-3.1
-4.3
-1.2
Change at Week 8
-3.4
-4.3
-1.8
Change at Week 12
-3.5
-4.2
-2.1
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 2: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category), baseline value and an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -1.7
Confidence Interval (2-Sided) 95%
-2.3 to -1.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 2: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category), baseline value and an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -2.9
Confidence Interval (2-Sided) 95%
-3.5 to -2.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 4: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category), baseline value and an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -1.9
Confidence Interval (2-Sided) 95%
-2.6 to -1.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 4: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category), baseline value and an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -3.1
Confidence Interval (2-Sided) 95%
-3.8 to -2.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 8: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category), baseline value and an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -1.6
Confidence Interval (2-Sided) 95%
-2.3 to -0.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 8: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category), baseline value and an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -2.6
Confidence Interval (2-Sided) 95%
-3.3 to -1.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 12: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category), baseline value and an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0006
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -1.4
Confidence Interval (2-Sided) 95%
-2.2 to -0.6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 12: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category), baseline value and an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -2.2
Confidence Interval (2-Sided) 95%
-3.0 to -1.4
Parameter Dispersion Type:
Value:
Estimation Comments
18. Secondary Outcome
Title Change From Baseline in Scoring Atopic Dermatitis (SCORAD) Visual Analogue Scale (VAS) Sleep Loss at Weeks 2, 4, 8 and 12
Description SCORAD: scoring index for AD combining extent, severity, subjective symptoms. Extent (A): rule of 9 was used to calculate BSA affected by AD as a % of whole BSA for each body region- head and neck 9%; upper limbs 9% each; lower limbs 18% each; anterior trunk 18%; back 18%; 1% for genitals. The score for each body region was added to determine A (0-100). Severity (B): severity of each sign (erythema; edema; oozing; excoriation; skin thickening; dryness) was assessed as none (0), mild (1), moderate (2) or severe (3). The severity scores added to give B (0-18). Subjective symptoms (C): pruritus and sleep loss, each of these 2 were scored by participant/caregiver using VAS where "0" = no itch or no sleeplessness and "10" = the worst imaginable itch or sleeplessness, higher scores worse symptoms. Scores for itch and sleeplessness added to give 'C' (0-20). The SCORAD for an individual was calculated: A/5 + 7*B/2 + C; range from 0 to 103; higher values of SCORAD = worse outcome.
Time Frame Baseline, Weeks 2, 4, 8, and 12

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomized participants who received at least 1 dose of study medication.
Arm/Group Title PF-04965842 100 mg PF-04965842 200 mg Placebo
Arm/Group Description Participants were randomized to receive a tablet of PF-04965842 (abrocitinib) 100 milligrams (mg) and a tablet of matching placebo orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive PF-04965842 200 mg (2 tablets of 100 mg each) orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive 2 tablets of placebo matched to PF-04965842 100 mg orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug.
Measure Participants 158 155 78
Change at Week 2
-1.9
-2.9
-0.5
Change at Week 4
-2.8
-3.9
-1.0
Change at Week 8
-3.1
-3.9
-1.5
Change at Week 12
-3.0
-3.8
-2.1
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 2: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category), baseline value and an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -1.4
Confidence Interval (2-Sided) 95%
-2.0 to -0.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 2: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category), baseline value and an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -2.4
Confidence Interval (2-Sided) 95%
-3.0 to -1.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 4: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category), baseline value and an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -1.8
Confidence Interval (2-Sided) 95%
-2.4 to -1.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 4: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category), baseline value and an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -3.0
Confidence Interval (2-Sided) 95%
-3.6 to -2.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 8: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category), baseline value and an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -1.6
Confidence Interval (2-Sided) 95%
-2.3 to -0.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 8: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category), baseline value and an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -2.4
Confidence Interval (2-Sided) 95%
-3.1 to -1.7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Week 12: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category), baseline value and an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0164
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -0.9
Confidence Interval (2-Sided) 95%
-1.7 to -0.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Week 12: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category), baseline value and an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -1.7
Confidence Interval (2-Sided) 95%
-2.5 to -1.0
Parameter Dispersion Type:
Value:
Estimation Comments
19. Secondary Outcome
Title Percent Change From Baseline in Scoring Atopic Dermatitis (SCORAD) Total Score at Week 2, 4, 8 and 12
Description SCORAD: scoring index for AD combining extent, severity, subjective symptoms. Extent (A): rule of 9 was used to calculate BSA affected by AD as a % of whole BSA for each body region- head and neck 9%; upper limbs 9% each; lower limbs 18% each; anterior trunk 18%; back 18%; 1% for genitals. The score for each body region was added to determine A (0-100). Severity (B): severity of each sign (erythema; edema; oozing; excoriation; skin thickening; dryness) was assessed as none (0), mild (1), moderate (2) or severe (3). The severity scores added to give B (0-18). Subjective symptoms (C): pruritus and sleep loss, each of these 2 were scored by participant/caregiver using VAS where "0" = no itch or no sleeplessness and "10" = the worst imaginable itch or sleeplessness, higher scores worse symptoms. Scores for itch and sleeplessness added to give 'C' (0-20). The SCORAD for an individual was calculated: A/5 + 7*B/2 + C; range from 0 to 103; higher values of SCORAD = worse outcome.
Time Frame Baseline, Weeks 2, 4, 8, and 12

Outcome Measure Data

Analysis Population Description
Full analysis set included all randomized participants who received at least 1 dose of study medication.
Arm/Group Title PF-04965842 100 mg PF-04965842 200 mg Placebo
Arm/Group Description Participants were randomized to receive a tablet of PF-04965842 (abrocitinib) 100 milligrams (mg) and a tablet of matching placebo orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive PF-04965842 200 mg (2 tablets of 100 mg each) orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive 2 tablets of placebo matched to PF-04965842 100 mg orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug.
Measure Participants 158 155 78
Change at Week 2
-27.2
-38.5
-6.3
Change at Week 4
-38.9
-53.1
-17.2
Change at Week 8
-42.6
-56.7
-23.1
Change at Week 12
-45.8
-56.2
-22.7
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Change at Week 2: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -20.9
Confidence Interval (2-Sided) 95%
-26.6 to -15.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Change at Week 2: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -32.1
Confidence Interval (2-Sided) 95%
-37.9 to -26.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Change at Week 4: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -21.6
Confidence Interval (2-Sided) 95%
-28.1 to -15.2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Change at Week 4: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -35.9
Confidence Interval (2-Sided) 95%
-42.3 to -29.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Change at Week 8: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -19.4
Confidence Interval (2-Sided) 95%
-26.8 to -12.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Change at Week 8: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -33.6
Confidence Interval (2-Sided) 95%
-41.0 to -26.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection PF-04965842 100 mg, Placebo
Comments Change at Week 12: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -23.1
Confidence Interval (2-Sided) 95%
-32.3 to -13.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection PF-04965842 200 mg, Placebo
Comments Change at Week 12: MMRM contained fixed factors of treatment, visit, treatment by visit interaction, randomization strata (baseline disease severity and age category) and baseline value and used an unstructured covariance matrix.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Mixed Models Analysis
Comments
Method of Estimation Estimation Parameter Difference in LS mean
Estimated Value -33.4
Confidence Interval (2-Sided) 95%
-42.6 to -24.3
Parameter Dispersion Type:
Value:
Estimation Comments

Adverse Events

Time Frame Baseline up to Week 16
Adverse Event Reporting Description Same event may appear as adverse event (AE) and serious AE, what is presented are distinct events. Event may be categorized as serious in 1 participant and as nonserious in another participant or 1 participant may have experienced both serious and nonserious event during study.
Arm/Group Title PF-04965842 100 mg PF-04965842 200 mg Placebo
Arm/Group Description Participants were randomized to receive a tablet of PF-04965842 (abrocitinib) 100 milligrams (mg) and a tablet of matching placebo orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive PF-04965842 200 mg (2 tablets of 100 mg each) orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug. Participants were randomized to receive 2 tablets of placebo matched to PF-04965842 100 mg orally once daily for 12 weeks. Participants who discontinued early from treatment or who were not eligible for LTE study, were followed up to 4 weeks after last dose of study drug.
All Cause Mortality
PF-04965842 100 mg PF-04965842 200 mg Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 1/158 (0.6%) 0/155 (0%) 0/78 (0%)
Serious Adverse Events
PF-04965842 100 mg PF-04965842 200 mg Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 5/158 (3.2%) 2/155 (1.3%) 1/78 (1.3%)
General disorders
Sudden death 1/158 (0.6%) 0/155 (0%) 0/78 (0%)
Immune system disorders
Anaphylactic shock 0/158 (0%) 1/155 (0.6%) 0/78 (0%)
Infections and infestations
Eczema herpeticum 0/158 (0%) 0/155 (0%) 1/78 (1.3%)
Herpangina 1/158 (0.6%) 0/155 (0%) 0/78 (0%)
Osteomyelitis bacterial 1/158 (0.6%) 0/155 (0%) 0/78 (0%)
Pneumonia 1/158 (0.6%) 0/155 (0%) 0/78 (0%)
Staphylococcal infection 1/158 (0.6%) 0/155 (0%) 0/78 (0%)
Staphylococcal skin infection 0/158 (0%) 0/155 (0%) 1/78 (1.3%)
Injury, poisoning and procedural complications
Femoral neck fracture 0/158 (0%) 1/155 (0.6%) 0/78 (0%)
Skin and subcutaneous tissue disorders
Dermatitis atopic 1/158 (0.6%) 0/155 (0%) 0/78 (0%)
Other (Not Including Serious) Adverse Events
PF-04965842 100 mg PF-04965842 200 mg Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 56/158 (35.4%) 52/155 (33.5%) 22/78 (28.2%)
Gastrointestinal disorders
Nausea 12/158 (7.6%) 22/155 (14.2%) 2/78 (2.6%)
Vomiting 2/158 (1.3%) 8/155 (5.2%) 1/78 (1.3%)
Infections and infestations
Nasopharyngitis 20/158 (12.7%) 12/155 (7.7%) 5/78 (6.4%)
Upper respiratory tract infection 14/158 (8.9%) 5/155 (3.2%) 3/78 (3.8%)
Nervous system disorders
Headache 9/158 (5.7%) 12/155 (7.7%) 2/78 (2.6%)
Skin and subcutaneous tissue disorders
Acne 2/158 (1.3%) 9/155 (5.8%) 0/78 (0%)
Dermatitis atopic 9/158 (5.7%) 6/155 (3.9%) 12/78 (15.4%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.

Results Point of Contact

Name/Title Pfizer ClinicalTrials.gov Call Center
Organization Pfizer Inc.
Phone 1-800-718-1021
Email ClinicalTrials.gov_Inquiries@pfizer.com
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT03575871
Other Study ID Numbers:
  • B7451013
  • MONO-2
  • 2018-001136-21
First Posted:
Jul 3, 2018
Last Update Posted:
Apr 21, 2020
Last Verified:
Apr 1, 2020