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ASLAN CEO Dr Carl Firth is a finalist for Executive of the Year at the 14th Annual Scrip Award


Executive of the Year ¡V For Small Cap & Private Pharma Companies¡@
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Jurgi Camblong, CEO and founder of SOPHiA GENETICS

Carl Firth, CEO and founder of ASLAN Pharmaceuticals

Antony Loebel, executive vice president, chief medical officer, head of global clinical development of Sunovion Pharmaceuticals

Amy Schulman, CEO and co-founder of Lyndra

Raman Singh, CEO of Mundipharma Singapore


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ir.aslanpharma.com/news-releases/news-release-details/aslan-pharmaceuticals-presents-two-posters-varlitinib-chinese

News Release



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Sep 21,2018


ASLAN Pharmaceuticals Presents Two Posters on Varlitinib at Chinese Society of Clinical Oncology Annual Meeting



SINGAPORE, Sept. 21, 2018 (GLOBE NEWSWIRE) -- ASLAN Pharmaceuticals (NASDAQ:ASLN, TPEx:6497), a clinical-stage biopharmaceutical company targeting cancers that are both highly prevalent in Asia and orphan indications in the United States and Europe, announced today the presentation of two posters on varlitinib at the 21st Annual Meeting of Chinese Society of Clinical Oncology (CSCO) held in Xiamen, China, from 19 to 23 September 2018.

Varlitinib is a potent, reversible, small molecule pan-HER inhibitor and is currently being developed by ASLAN across multiple indications including a global pivotal trial in biliary tract cancer and a global study in gastric cancer.

Details of the posters presented are as follows:

Poster title: Multicenter Phase 2 trial of varlitinib versus lapatinib in combination with capecitabine in patients with HER2+ metastatic breast cancer (MBC) who failed prior trastuzumab therapy.
Board number: P-38
Abstract number: 1148
Date:21 September 2018
Location: 2nd Floor of Xiamen International Conference Center, Front Porch of Strait Hall

Poster title: JADETREE: A phase 2A, single arm, multicentre study of varlitinib plus capecitabine in Chinese patients with advanced or metastatic biliary tract cancer (BTC).
Board number: C-12
Date: 20 September to 22 September 2018
Location: 2nd Floor of Xiamen International Conference Center, Area for the Innovative Drug Clinical Research Session

Copies of the posters are available to view and download from ASLAN Pharmaceuticals¡¦ website.

Media and IR contacts

Emma Thompson Robert Uhl
Spurwing Communications Westwicke Partners
Tel: +65 6340 7287 Tel: +1 858 356 5932
Email: ASLAN@spurwingcomms.com Email: robert.uhl@westwicke.com

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clinicaltrials.gov/ct2/show/NCT03130790





Varlitinib in Combination With mFOLFOX6 for Advanced or Metastatic Gastric Cancer (First Line)


Official Title: A Two-Part Phase 2/ 3 Multicentre, Double-Blind, Randomized, Placebo Controlled Study of Varlitinib Plus mFOLFOX6 Verses Placebo Plus mFOLFOX6 In Subjects With HER1/ HER2 Co Expressing Advanced or Metastatic Gastric Cancer Without Prior Exposure to Systemic Therapy

Primary Outcome Measures :
Percentage change from baseline in tumor size at Week 12 - Phase 2 part [ Time Frame: At baseline and every 6 weeks for 24 weeks, after which reduced to once every 12 weeks until progression (up to approximately 3 months) ]
Phase 2 part: Percentage change in tumour size defined as the percentage change from baseline in the sum of longest diameters of target lesions as assessed by ICR and defined by the RECIST v1.1 criteria

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4.Subjects with tumors with IHC evidence of expression of HER1 (at level of + or ++ or +++) and HER-2 (at level of +, or ++) using standard criteria in the local lab. Subjects with HER-2 over expression at level of +++ determined by IHC and subject confirmed HER2 2+ by IHC with HER2 gene amplification confirmed by FISH but has contradiction to trastuzumab*.
*For details of contraindication related to trastuzumab, refer to package insert or US treatment guideline.

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Edison issues update on ASLAN Pharmaceuticals (ASLN)

Edison Investment Research Limited (GLOBE NEWSWIRE)
2 hrs ago

www.bakersfield.com/ap/national/edison-issues-update-on-aslan-pharmaceuticals-asln/article_7767a625-dbdc-5340-880f-b756c7ec9f5b.html

LONDON, Sept. 19, 2018 (GLOBE NEWSWIRE) -- ASLAN announced it would be amending the protocol for its ongoing Chinese pivotal trial of varlitinib in biliary tract cancer. The patients being enrolled in China had more severe disease than expected based on historical controls, which manifested as a weaker than expected response to treatment on the trial. Due to delays, the Chinese study may not complete before the ongoing TREETOP study, which would then serve as a pivotal study for approval in China and is expected to complete in 2019.

We have slightly adjusted our valuation of ASLAN to $389m from $399m. This is driven by increased development costs and a longer timeline in China (2020 approval vs 2019 before), as well as lower net cash, and is partly offset by advancing our NPVs. Click here to view the full report.

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Based on a review of patients recruited to-date and discussions with key investigators, it was agreed that a protocol amendment should be submitted to local authorities to modify enrolment criteria and to ensure the study will provide an accurate evaluation of varlitinib¡¦s efficacy. Review and implementation of the voluntary amendment is expected to take approximately 4 months. In the interim,

ASLAN will continue to recruit patients into the study and provide a further update on study timelines in early 2019.

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ASLAN Pharma faces longer timeline for China study of varlitinib + capecitabine in biliary tract cancer
Sep. 17, 2018 10:45 AM • SA Editor Douglas W. House
Citing the need for a protocol amendment to ensure that its China-based study of varlitinib plus capecitabine (second-line setting) in patients with advanced/metastatic biliary tract cancer (BTC) will provide an accurate assessment of varlitinib¡¦s efficacy, ASLN Pharmaceuticals (ASLN +1.2%) will modify the enrollment criteria.
The review and implementation of the voluntary amendment should take about four months. In the meantime, recruitment in the 68-subject trial will continue. The company will update investors again in early 2019.
ASLN says the reason for the change is worse-than-expected response rates in the first-line setting prior to participation in its second-line study. In the first 27 subjects, the first-line response rate was ~7% and progression-free survival (PFS) was 2.7 months, well below the 26% and 8 months observed in the ABC-02 study of cisplatin + gemcitabine, the current standard-of-care for first-line BTC.
So far, in 14 participants who have received a six-week scan, the disease control rate (DCR) was 50% (1 partial responder + 6 with stable cancer). In the first-line setting, the DCR in the same 14 patients was ~43% (2 partial responders + 4 with stable cancer).

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Patients enrolled into the second line study in China appear to have performed significantly worse, prior to recruitment, in the first line setting than observed in published global studies. In the first 27 patients enrolled, the first line response rate was approximately 7% and progression free survival (PFS) was 2.7 months. In comparison, the ABC-021 study that compared cisplatin plus gemcitabine to gemcitabine alone, the current standard of care for first line treatment of patients with advanced BTC, showed a first line response rate of 26% and PFS of 8 months for patients on cisplatin and gemcitabine.

In the 14 patients that received a 6-week scan in the study, 1 partial response and 6 patients with stable disease were reported based on site assessment. For the same 14 patients in the first line setting, there were 2 partial responses and 4 patients with stable disease.

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Patients enrolled into the second line study in China appear to have performed significantly worse, prior to recruitment, in the first line setting than observed in published global studies. In the first 27 patients enrolled, the first line response rate was approximately 7% and progression free survival (PFS) was 2.7 months. In comparison, the ABC-021 study that compared cisplatin plus gemcitabine to gemcitabine alone, the current standard of care for first line treatment of patients with advanced BTC, showed a first line response rate of 26% and PFS of 8 months for patients on cisplatin and gemcitabine.

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ASLAN Pharmaceuticals Provides Update on Timelines for Clinical Trial of Varlitinib in Biliary Tract Cancer in China
By GlobeNewswire, September 17, 2018, 06:58:00 AM EDT
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Management will host a conference call and webcast today, Monday, 17 September at 8:30am ET/8:30pm SGT
SINGAPORE, Sept. 17, 2018 (GLOBE NEWSWIRE) -- ASLAN Pharmaceuticals (NASDAQ:ASLN, TPEx:6497), a clinical-stage biopharmaceutical company targeting cancers that are both highly prevalent in Asia and orphan indications in the United States and Europe, today announced an update to its planned timelines for the ongoing single-arm clinical trial in China testing varlitinib plus capecitabine in patients with advanced or metastatic biliary tract cancer (BTC). The open-label study planned to enrol 68 patients with BTC who had progressed on at least one line of prior chemotherapy.


Based on a review of patients recruited to-date and discussions with key investigators, it was agreed that a protocol amendment should be submitted to local authorities to modify enrolment criteria and to ensure the study will provide an accurate evaluation of varlitinib¡¦s efficacy. Review and implementation of the voluntary amendment is expected to take approximately 4 months. In the interim, ASLAN will continue to recruit patients into the study and provide a further update on study timelines in early 2019.

ASLAN¡¦s global pivotal study in second line BTC, TREETOPP, remains on track to complete patient enrolment in early 2019. TREETOPP is a randomised, double-blind, placebo-controlled clinical trial in second line BTC comparing varlitinib and capecitabine to placebo and capecitabine. If positive, data from the TREETOPP study will be used in regulatory approval submissions for varlitinib globally.

Patients enrolled into the second line study in China appear to have performed significantly worse, prior to recruitment, in the first line setting than observed in published global studies. In the first 27 patients enrolled, the first line response rate was approximately 7% and progression free survival (PFS) was 2.7 months. In comparison, the ABC-021 study that compared cisplatin plus gemcitabine to gemcitabine alone, the current standard of care for first line treatment of patients with advanced BTC, showed a first line response rate of 26% and PFS of 8 months for patients on cisplatin and gemcitabine.

In the 14 patients that received a 6-week scan in the study, 1 partial response and 6 patients with stable disease were reported based on site assessment. For the same 14 patients in the first line setting, there were 2 partial responses and 4 patients with stable disease.

Dr Mark McHale, Chief Operating Officer, ASLAN Pharmaceuticals said: Based on our team¡¦s experience developing drugs such as gefitinib and afatinib that showed differences in outcomes between US and Chinese patients, we have been monitoring the China study closely. This has allowed us to identify significant differences in the patient population compared to historical studies and take measures to ensure this study will provide an accurate evaluation of varlitinib¡¦s efficacy. Single-arm studies are inherently prone to these risks and we do not see any impact on our other ongoing placebo-controlled studies. We are working closely with some of China¡¦s leading biliary tract cancer experts to understand the differences in disease outcomes we are seeing.

ASLAN Pharmaceutical¡¦s management will host a conference call and webcast for analysts and investors on Monday, 17 September at 8:30am ET/8:30pm SGT.

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www.nasdaq.com/press-release/aslan-pharmaceuticals-provides-update-on-timelines-for-clinical-trial-of-varlitinib-in-biliary-20180917-00222


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Criteria
Inclusion Criteria:
1.Signed written informed consent granted prior to initiation of any study-specific procedures
2.18 years of age or older
3.Histologically or cytologically confirmed locally advanced, inoperable (where surgery is not indicated due to disease extension, co-morbidities, or other technical reasons), or metastatic iCCA or mixed histology tumors (combined hepatocellular-cholangiocarcinoma [cHCC-CCA])

4.FGFR2 gene fusion status confirmed by NGS or FISH testing
¡XTest positive by FISH by the central laboratory designated by the Sponsor

¡XHave FGFR2 gene fusion documented by a local or central laboratory using standard protocols and approved by local IRB/EC, by CLIA or other similar agency. If the FGFR2 gene fusion is identified by a laboratory other than the Sponsor¡¦s central laboratory, then archival and/or recent tissue biopsy samples or a tissue block suitable for genetic testing must be available for confirmatory testing by FISH by the Sponsor¡¦s central laboratory. If a subject has documentation from the central laboratory indicating that they test negative for FGFR2 gene fusion, that subject may not be enrolled in the study.

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www.diaglobal.org/en/flagship/dia-2017/program/posters/Poster-Presentations/Poster-Presentations-Details?ParentProductID=5583268&ProductID=6534996&AbstractID=74094



B Rare Disease and FDA¡¦s Priority Review Designation

1FDA Orphan Drug Approvals Since 2013* (®Ö­ã91Áû©t¨àÃÄ(·sÃÄ)
2 ®³¨ìBTD ¤S®³¨ì Priority Review Designation ¦û32% ( ¨â¼Ë³£®³¨ì³Q®Ö­ãÃÄÃÒ¦û32% )
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C Rare Disease and FDA¡¦s Breakthrough Therapy Designation Program

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2 ¦b87ÁûÃÄ®³¨ìBTD¤¤©t¨àÃÄÀù¯gÃþ¦û37% , ©t¨àÃÄ«DÀù¯gÃþ 23%
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4 BTD ¦³60% ®Ö­ãµ¹©t¨àÃÄ ( rare disease )

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Table 1a. Ryan White HIV/AIDS Program clients (non-ADAP), by year and selected characteristics, 2012¡V2016¡XUnited

States and 3 territories

Housing status (©~¦íª¬ºA)
Stable (í©w)449,267 ¤H, 86.1 %
Temporary(Á{®É) 45,767 ¤H 8.8%
Unstable(¤£穏©w)26,907¤H 5.2%
¦X­p 551,567 ¤H


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www.news.sanofi.us/2018-05-21-New-England-Journal-of-Medicine-publishes-two-positive-Phase-3-trials-showing-Dupixent-R-dupilumab-improved-moderate-to-severe-asthma

Dupilumab 3´ÁÁ{§É¥D­n«ü¼Ð¸ê®Æ

New England Journal of Medicine publishes two positive Phase 3 trials showing DupixentR (dupilumab) improved moderate-to-severe asthma


QUEST Data Summary
Placebo-adjusted reduction in annualized rate of severe asthma exacerbations over 52 weeks


¥ÎÃĶq200 mg Dupixent (n=631) vs.
Placebo (n=317)
48 percent*
(¹êÅç²Õ¬°¹ï·Ó²Õªº48%ÄY­«´c¤Æ¨Æ¥ó¦~¤Æ²v) ,p <0.001

¥ÎÃĶq300 mg Dupixent (n=633) vs.
Placebo (n=321)
46 percent*
(¹êÅç²Õ¬°¹ï·Ó²Õ46%ªºÄY­«´c¤Æ¨Æ¥ó¦~¤Æ²v), p<0.001


Placebo-adjusted absolute (percent) change in lung function (measured by FEV1) from baseline to week 122

ªÍ¥\¯à«ü¼Ð
FEV1¬O³q¹LªÍ¬¡¶q­p´ú¶qªº±j¨î©I®ðªº²Ä¤@¬í©I¥XªºªÅ®ð¶q¡C


¥ÎÃĶq200 mg Dupixent (n=611) vs.
Placebo (n=307)
140 mL* P<0.001 ((¹ï·Ó²Õ¤ñ¹ê»Ú²Õ¤Ö140ml)
(9 percent) (¹ï·Ó²Õ¤ñ¹ê»Ú²Õ¤Ö9%)


¥ÎÃĶq300 mg Dupixent (n=610) vs.
Placebo (n=313)
Overall population1
130 mL* p<0.001
(9 percent)


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1.
52©PªvÀø´Á¶¡ÄY­«´c¤Æ¨Æ¥óªº¦~¤Æ²v¡G·N¦VªvÀø¡]ITT¡^¤H¸s[®É­­¡G°ò½u¦Ü²Ä52¶g]
ÄY­«´c¤Æ³Q©w¸q¬°­ý³Ý´c¤Æ»Ý­n¡G¨Ï¥Î¥þ¨­©Ê¥Ö½èÃþ©T¾J≥3¤Ñ; ©Î¦]­ý³Ý¦í°|©Î«æ¶E«Ç´N¶E¡A»Ý­n¥þ¨­©Ê¥Ö½èÃþ©T¾J¿E¯À¡C ¦~«×¨Æ¥óµo¥Í²v¬OªvÀø´Á¶¡µo¥Íªº´c¤ÆÁ`¼Æ°£¥HªvÀøªº°Ñ»PªÌ¦~¼Æ¡C

2.
1¶g¤º«e¤ä®ðºÞÂX±i¾¯±j¨î©I®ð¶q¡]FEV1¡^ªº°ò½uµ´¹ïÅܤơG²Ä12¶g¡GITT¤H¸s[®É¶¡½d³ò¡G°ò½u¡A²Ä12¶g]
FEV1¬O³q¹LªÍ¬¡¶q­p´ú¶qªº±j¨î©I®ðªº²Ä¤@¬í©I¥XªºªÅ®ð¶q¡C

of participant-years treated.

Absolute Change From Baseline in Pre-Bronchodilator Forced Expiratory Volume in 1 Second (FEV1) at Week 12: ITT Population [ Time Frame: Baseline, Week 12 ]
FEV1 was the volume of air exhaled in the first second of a forced expiration as measured by spirometer.

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 ·|­û¡G¤Ñ©R10141925 µoªí®É¶¡:2018/9/4 ¤W¤È 08:20:21                                                                                   ²Ä 502 ½g¦^À³

Dupilumab ªº­ý³Ý3´ÁÁ{§Én=1902 ¤H, 2¦~¨ú±o¥D­n«ü¼Ð.

clinicaltrials.gov/ct2/show/NCT02414854
Evaluation of Dupilumab in Patients With Persistent Asthma (Liberty Asthma Quest)
Study Design
Go to sections
Study Type : Interventional (Clinical Trial)
Actual Enrollment : 1902 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Care Provider, Investigator)
Primary Purpose: Treatment
Official Title: A Randomized, Double Blind, Placebo-Controlled, Parallel Group Study to Evaluate the Efficacy and Safety of Dupilumab in Patients With Persistent Asthma
Study Start Date : April 27, 2015
Actual Primary Completion Date : July 29, 2017
Actual Study Completion Date : November 23, 2017

Primary Outcome Measures :
Annualized Rate of Severe Exacerbation Events During The 52-Week Treatment Period: Intent-to-Treat (ITT) Population [ Time Frame: Baseline to Week 52 ]
A severe exacerbation was defined as a deterioration of asthma requiring: use of systemic corticosteroids for ≥3 days; or hospitalization or emergency room visit because of asthma, requiring systemic corticosteroids. Annualized event rate was the total number of exacerbations that occurred during the treatment period divided by the total number of participant-years treated.

Absolute Change From Baseline in Pre-Bronchodilator Forced Expiratory Volume in 1 Second (FEV1) at Week 12: ITT Population [ Time Frame: Baseline, Week 12 ]
FEV1 was the volume of air exhaled in the first second of a forced expiration as measured by spirometer.


Secondary Outcome Measures :
Percent Change From Baseline in Pre-Bronchodilator FEV1 at Week 12: ITT Population [ Time Frame: Baseline, Week 12 ]
FEV1 was the volume of air exhaled in the first second of a forced expiration as measured by spirometer.

Annualized Rate of Severe Exacerbation Events During The 52-Week Treatment Period: ITT Population With Baseline Eosinophil ≥0.15 Giga/L [ Time Frame: Baseline to Week 52 ]
A severe exacerbation was defined as a deterioration of asthma requiring: use of systemic corticosteroids for ≥3 days; or hospitalization or emergency room visit because of asthma, requiring systemic corticosteroids. Annualized event rate was the total number of exacerbations that occurred during the treatment period divided by the total number of participant-years treated.

.......


Criteria
Inclusion criteria:
-Adults and adolescent participants with a physician diagnosis of asthma for ≥12 months, based on the Global Initiative for Asthma (GINA) 2014 Guidelines and the following criteria:
a) Existing treatment with medium to high dose ICS (≥250 mcg of fluticasone propionate twice daily or equipotent ICS daily dosage to a maximum of 2000 mcg/day of fluticasone propionate or equivalent) in combination with a second controller (eg, long-acting beta agonist, leukotriene receptor antagonist) for at least 3 months with a stable dose ≥1 month prior to Visit 1.
i) Note for Japan: for participants aged 18 years and older, ICS must be on ≥200 mcg of fluticasone propionate twice daily or equivalent; for participants aged 12 to 17 years, ICS must be ≥100 mcg of fluticasone propionate twice daily or equivalent).
ii) Participants requiring a third controller for their asthma will be considered eligible for this study, and it should also be used for at least 3 months with a stable dose ≥1 month prior to Visit 1.
Exclusion criteria:
Participants <12 years of age or the minimum legal age for adolescents in the country of the investigative site, whichever is higher (For those countries where local regulations permit enrollment of adults only, participant recruitment will be restricted to those who are ≥18 years of age).
Weight is less than 30 kilograms.
Chronic obstructive pulmonary disease or other lung diseases (eg, idiopathic pulmonary fibrosis, Churg-Strauss Syndrome, etc) which may impair lung function.
A participant who experiences a severe asthma exacerbation (defined as a deterioration of asthma that results in emergency treatment, hospitalization due to asthma, or treatment with systemic steroids at any time from 1 month prior to the Screening Visit up to and including the Baseline Visit).
Evidence of lung disease(s) other than asthma, either clinical evidence or imaging (Chest X-ray, CT, MRI) within 12 months of Visit 1 or at the screening visit, as per local standard of care.
Note for Japan: According to the request from the health authority, chest X-ray should be performed at screening visit if there is no chest imaging (Chest X-ray, computed tomography [CT], magnetic resonance imaging [MRI]) available within 3 months prior to screening to exclude participants with suspected active or untreated latent tuberculosis.
Current smoker or cessation of smoking within 6 months prior to Visit 1.
Previous smoker with a smoking history >10 pack-years.
Comorbid disease that might interfere with the evaluation of Investigational Medicinal Product.
The above information is not intended to contain all considerations relevant to a participant¡¦s potential participation in a clinical trial.

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 ·|­û¡G¤Ñ©R10141925 µoªí®É¶¡:2018/9/3 ¤U¤È 07:27:22                                                                                   ²Ä 501 ½g¦^À³

¾¨ºÞ¦³¥i¥ÎªºªvÀø¤èªk¡A¤j¬ù20¢Hªº­ý³Ý±wªÌ¤´µM¦s¦b¤£¨ü±±¨îªº¤¤«×¦Ü­««×¯gª¬¡A¡§°¨¨½¶ø¥d´µ¯Sù¡AÂå¾Ç³Õ¤h¡A¦ã­ÛA.©MµØ²±¹y¤j¾ÇÂå¾Ç°|ªÍ»P­«¯gÂå¾Ç±Ð±ÂEdith L. Wolff»¡¡C

¸t¸ô©ö´µ¡C¡§¤µ¤Ñµoªí¦b·s­^®æÄõÂå¾ÇÂø»x¤Wªº¬ã¨sµ²ªGÅã¥Ü¡A¨Ó¦Û3´Á¸ÕÅ窺ÃÒ¾Úªí©ú¡A¥Íª«»s¾¯¥i¯à¦³§U©ó¼s¤j¤H¸s¦b¥[¤J¼Ð·ÇªvÀø®É§ïµ½¦hºØÃöÁ䪺­ý³ÝªvÀø¥Ø¼Ð¡C Dupixent¦®¦b§í¨î2«¬ª¢¯g¤¤¯A¤Îªº¨âºØ­«­n³J¥Õ¡]IL-4©MIL-13¡^ªº«H¸¹¶Ç¾É¡A¾É­P³\¦h¤¤­««×­ý³Ý±wªÌ¥X²{¤£¨ü±±¨îªº¯gª¬¡C

About 20 percent of people with asthma continue to have uncontrolled moderate-to-severe symptoms despite available treatments, said Mario Castro, M.D., Alan A. and Edith L. Wolff Professor of Pulmonary and Critical Care Medicine at Washington University School of Medicine in St. Louis. The results published today in the New England Journal of Medicine show evidence from a Phase 3 trial that a biologic may have the potential to help a broad population of patients improve multiple key asthma treatment goals when added to standard treatments. Dupixent was designed to inhibit signaling from two important proteins (IL-4 and IL-13) involved in Type 2 inflammation that contribute to uncontrolled symptoms in many people with moderate-to-severe asthma.

www.news.sanofi.us/2018-05-21-New-England-Journal-of-Medicine-publishes-two-positive-Phase-3-trials-showing-Dupixent-R-dupilumab-improved-moderate-to-severe-asthma



New England Journal of Medicine publishes two positive Phase 3 trials showing DupixentR (dupilumab) improved moderate-to-severe asthma

* In steroid-sparing VENTURE trial, Dupixent-treated patients substantially reduced use of oral corticosteroids, yet had fewer exacerbations and improved lung function compared to placebo.
* Results showed Dupixent demonstrated a significant improvement in multiple asthma endpoints in two Phase 3 clinical trials in a broad population of patients with uncontrolled asthma, irrespective of minimum baseline eosinophil levels or other biomarkers of Type 2 inflammation
* Greater benefit observed in patients with higher levels of markers of Type 2 inflammation, as evidenced by eosinophils or exhaled nitric oxide levels
* In both trials, Dupixent treated patients showed significant lung function improvement two weeks after first dose that was sustained over 52 weeks

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2016¦~¥þ²y­ý³Ý©MCOPD¥«³õ»ù­È¬°39,021.2¦Ê¸U¬ü¤¸¡A¹w­p¨ì2025¦~±N¹F¨ì56,507.7¦Ê¸U¬ü¤¸¡A±q2017¦~¨ì2025¦~ªº½Æ¦X¦~¼Wªø²v¬°4.2¢H¡C

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www.prnewswire.com/news-releases/global-asthma-and-copd-market-2017-2025---market-value-expected-to-reach-56-billion-300577584.html
DUBLIN, Jan. 4, 2018 /PRNewswire/ --

The Global Asthma and COPD Market Size, Market Share, Application Analysis, Regional Outlook, Growth Trends, Key Players, Competitive Strategies and Forecasts, 2017 to 2025 report has been added to Research and Markets¡¦ offering.

The global asthma and COPD market was valued at US$ 39,021.2 Million in 2016, and is expected to reach US$ 56,507.7 Million by 2025, expanding at a CAGR of 4.2% from 2017 to 2025.

Globally, asthma and COPD is one the leading chronic respiratory diseases, with high prevalence and increasing health care and economic burden. Thus, disease represent a lucrative market for pharmaceutical companies.

COPD is rated to be the fourth most common cause of mortality, and expected to reach third position by 2030, in case the risk such as smoking, pollution is not addressed. Gradually over the period of time the treatment of asthma and COPD shows improvement, with novel drugs and treatment strategies, along with usage of non-pharmacologic treatment.

It has being observed there is being surge in prevalence of asthma and COPD in developed and developing countries. In developed countries, there is being rise in prevalence of asthma due to lifestyle changes in terms of food habit, low level of exercise, etc., while in developing countries the prevalence is due to pollution and smoking.

As of the current market scenario, North America together dominate the global asthma and COPD market followed by the European market. Rising prevalence of asthma and COPD due to pollution, change in lifestyle, entry of generics and novel therapies in the market.

Asia Pacific is anticipated to be the fastest growing market for the forecast period. Emerging economies such India, China due to industrialization, demographic changes, urbanization there is been rise in pollution thus increase in prevalence of asthma and COPD population.

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US Asthma Treatment Market Value to Hit $14 Billion by 2020, says GBI Research

gbiresearch.com/media-center/press-releases/us-asthma-treatment-market-value-to-hit-14-billion-by-2020-says-gbi-research
The US treatment market for asthma will rise in value from $11.7 billion in 2013 to an estimated $14 billion by 2020, representing a Compound Annual Growth Rate (CAGR) of 2.6%, says business intelligence provider GBI Research.

The company¡¦s latest report* states that the US is the single biggest asthma treatment market globally, reflecting the country¡¦s large population size, high disease prevalence and the inflated cost of therapeutics in comparison with other major markets.

However, according to Fiona Chisholm, Associate Analyst for GBI Research, the asthma therapeutics market will be strongly characterized by generic erosion that will impact several of the leading brands over the forecast period, including Singulair (montelukast sodium), Advair (fluticasone propionate/salmeterol xinafoate), and Symbicort (budesonide/formoterol fumarate).

Chisholm explains: ¡§Singulair¡¦s patent expired in 2012, with the US Food and Drug Administration subsequently granting approval to several manufacturers, including Teva, Sandoz and Mylan, to market generic versions of the drug. As a consequence, sales revenue for Singulair has declined substantially in recent years.

¡§Advair and Symbicort have also recently lost patent protection in the US. However, substantial generic erosion has not occurred, due to regulatory hurdles and the difficulties inherent in trying to produce a bioequivalent Inhaled Corticosteroid/Long-Acting Beta Agonist (ICS/LABA) combination drug and inhaler device.¡¨

While patent expirations are set to limit market growth to 2020, the impact of this will be offset by the uptake of recently approved and promising pipeline drugs.

Chisholm continues: ¡§Arnuity, the follow-on product to the current ICS market leader Flovent, was approved in the US in August 2014, while Relvar, the follow-on product to the current ICS/LABA market leader Advair, is at the pre-registration phase. GBI Research believes both drugs will help to maintain sales revenue for their respective classes.

¡§Furthermore, the potential approval of several premium-priced, novel IL-targeting monoclonal antibodies, although limited by their target populations, will also contribute to growth.¡¨

The analyst adds that the development of these IL-targeting therapies, as well as other novel drugs, also gives rise to potential phenotype-targeted treatment, which could be particularly useful for patients with severe asthma.

¡§If approved, these drugs will represent a significant step forward in asthma therapeutics, helping to achieve personalized treatment tailored to each individual patient,¡¨ Chisholm concludes.

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­ý³Ý¥«³õ¥Íª«¾Çµo®iªº¼W¥[¥i¯àÂk¦]©óXolair¡]omalizumab¡^ªº¦¨¥\¡AXolair¬O¥Ø«e¤W¥«ªº³æ§J¶©§ÜÅ餧¤@¡A©ó2014¦~¹F¨ì¤F­«½S¬µ¼uªº¦a¦ì¡C¸ÓÃĪ«©ó2003¦~¦b¦L«×¡A¿D¤j§Q¨È¡A¤é¥»©M«n¤èÀò±o§å­ã¡CÁú°ê¡A§@¬°12·³¤Î¥H¤W¤¤«×¦Ü­««×¹L±Ó©Ê­ý³Ý±wªÌªºªþ¥[Àøªk¡A¨Ã¥B§l¤J¿}¥Ö½è¿E¯À¤£¯à¥R¤À±±¨î¯gª¬¡C³o¬O²Ä¤@­Ó¶i¤J¨È¤Ó¦a°Ï­ý³Ý¥«³õªº¥Íª«»s¾¯¡A¨ä±À¥X¸Ñ¨M¤F­ý³Ý­Ó©Ê¤ÆªvÀøªº­«¤j»Ý¨D¡C

AroraÄ~Äò»¡¹D¡G¡§ÃĪ«¶}µo°Ó²{¦b¥¿¦b´M§äXolairªº¨Ò¤l¡AXolair¦b¤é¥»¡A¿D¤j§Q¨È©MÁú°ê³Q¼sªx¶}³B¤è¡A³q¹L¶}µo°w¹ï¯S©w±wªÌ¨È«¬ªº°ª«×¹v¦Vªº¥Íª«»s¾¯©M³æ§J¶©§ÜÅé¡A§Æ±æ¥H«e¨ü¯qªA°È¤£¨¬ªº±wªÌ¨Ã²£¥Í±j«lªº¦¬¤J¡C

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Asia-Pacific asthma market will hit $6 billion by 2023 as manufacturers look to address unmet needs, says GBI Research


The Asia-Pacific (APAC) asthma therapeutics market, which covers India, China, Australia, South Korea and Japan, is expected to grow significantly from $4.1 billion in 2016 to around $6 billion by 2023, representing a compound annual growth rate of 5.4%, according to business intelligence provider GBI Research.

The company¡¦s latest report states that this strong growth will be driven by an expanding aging population, increases in air pollution, a promising product pipeline and the launch of first-in-class molecules.

Gautam Arora, Analyst for GBI Research, explains: ¡§There are a number of therapies currently in development for asthma designed to address unmet needs in the market that will, depending on clinician uptake, drive the annual cost of therapy associated with the disease. The most prominent examples are interleukin-targeting monoclonal antibodies (mAbs), including reslizumab, dupilumab, tralokinumab, and benralizumab.

¡§Mepolizumab and omalizumab represent a clear shift towards personalized medicine for the treatment of asthma. The high price of these biologics, which is due to the costliness of manufacturing a biologic agent, as well as the potential first-to-market status for severe asthma, will contribute to the high sales figures.¡¨

A rise in biologic development in the asthma market is possibly attributable to the success of Xolair (omalizumab), one of the currently marketed mAbs, which reached blockbuster status in 2014. The drug was approved in 2003 in India, Australia, Japan, and South Korea, as an add-on therapy for those aged 12 and over with moderate-to-severe allergic asthmas and symptoms not adequately controlled with inhaled corticosteroids. It was the first biologic to reach the APAC asthma market, and its launch addressed a significant unmet need for personalized therapy in asthma.

Arora continues: ¡§Drug developers are now looking to follow the example of Xolair, which is widely prescribed in Japan, Australia, and South Korea, by developing highly targeted biologics and mAbs aimed at specific patient sub-types, with the hope of benefiting previously underserved patients and generating strong revenues.

¡§The level of innovation in asthma drug development is greater than that seen historically, which is a cause for optimism. The current pipeline molecules may be able to address unmet patient needs, and could provide additional alternative treatment options for patients with severe asthma that is uncontrolled with standard treatment.¡¨

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Dupilumab Development Program

Sanofi and Regeneron are studying dupilumab in a broad range of clinical development programs for diseases driven by Type 2 inflammation, including asthma (Phase 3), pediatric atopic dermatitis (Phase 3, ages 6 months - 11 years), nasal polyps (Phase 3) and eosinophilic esophagitis (Phase 2). Future trials are planned for chronic obstructive pulmonary disease, grass allergy and food allergy (including peanut). These potential uses are investigational and the safety and efficacy have not been evaluated by any regulatory authority. Dupilumab is being jointly developed by Sanofi and Regeneron under a global collaboration agreement.

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www.news.sanofi.us/2018-05-16-Dupixent-R-dupilumab-showed-positive-Phase-3-results-in-adolescents-with-inadequately-controlled-moderate-to-severe-atopic-dermatitis

Dupixent 12-17 ·³¡A¤¤­««×²§¦ì©Ê¥Ö½§ª¢3´ÁÁ{§É«ü¼Ð¹F¼Ð¡C
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ASLAN004°£¤F°w¹ï¤¤­««×²§¦ì©Ê¥Ö½§ª¢¡A®ð³Ýµ¥¶i¦æ¬ãµo¥~®Ú¾Ú¤½¥qºô¯¸´£¨ì¥¼¨Ó¥ç¥i¯à°w¹ï¨ä¥Lµoª¢©Ê¾AÀ³¯g¶i¦æ¬ã¨s¡A¨Ò¦pºC©Êªý¶ë©ÊªÍ¯f (COPD)¡C 2011¦~²Î­p¬ü°êCOPD¤H¼Æ¦b1270¸U-2400¸U¤H¤§¶¡
www.healthline.com/health/copd/facts-statistics-infographic#6

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Percentage of Participants With Investigator¡¦s Global Assessment (IGA) Score of 0 or 1 and Reduction From Baseline of ≥2 Points at Week 16 [ Time Frame: Week 16 ]
IGA is an assessment scale used to determine severity of AD and clinical response to treatment on a 5-point scale (0 = clear; 1 = almost clear; 2 = mild; 3 = moderate; 4 = severe) based on erythema and papulation/infiltration. Therapeutic response is an IGA score of 0 (clear) or 1 (almost clear). Participants with IGA score of 0 or 1 and a reduction from baseline of ≥2 points at Week 16 were reported. Values after first rescue treatment were set to missing and participants with missing IGA scores at Week 16 were considered as non-responders.

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HIGHLIGHTS OF PRESCRIBING INFORMATION
These highlights do not include all the information needed to use DUPIXENT safely and effectively. See full prescribing information for DUPIXENT.

www.accessdata.fda.gov/drugsatfda_docs/label/2017/761055lbl.pdf

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Dupilumabªº¤T´ÁÁ{§É¤§¤@
Study of Dupilumab Monotherapy Administered to Adult Patients With Moderate-to-Severe Atopic Dermatitis (SOLO 1)
clinicaltrials.gov/ct2/show/NCT02277743
Study Type : Interventional (Clinical Trial)
Actual Enrollment : 671 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Phase 3 Confirmatory Study Investigating the Efficacy and Safety of Dupilumab Monotherapy Administered to Adult Patients With Moderate-to-Severe Atopic Dermatitis
Study Start Date : October 2014
Actual Primary Completion Date : November 2015
Actual Study Completion Date : February 2016

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Primary Outcome Measures :
Percentage of Participants With Investigator¡¦s Global Assessment (IGA) Score of 0 or 1 and Reduction From Baseline of ≥2 Points at Week 16 [ Time Frame: Week 16 ]
IGA is an assessment scale used to determine severity of AD and clinical response to treatment on a 5-point scale (0 = clear; 1 = almost clear; 2 = mild; 3 = moderate; 4 = severe) based on erythema and papulation/infiltration. Therapeutic response is an IGA score of 0 (clear) or 1 (almost clear). Participants with IGA score of 0 or 1 and a reduction from baseline of ≥2 points at Week 16 were reported. Values after first rescue treatment were set to missing and participants with missing IGA scores at Week 16 were considered as non-responders.


Secondary Outcome Measures :
Percentage of Participants With Eczema Area and Severity Index-75 (EASI-75) (≥75% Improvement From Baseline) at Week 16 [ Time Frame: Week 16 ]
The EASI score was used to measure the severity and extent of AD and measured erythema, infiltration, excoriation and lichenification on 4 anatomic regions of the body: head, trunk, upper and lower extremities. The total EASI score ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD. EASI-75 responders were the participants who achieved ≥75% overall improvement in EASI score from baseline to Week 16. Values after first rescue treatment use were set to missing and participants with missing EASI score at Week 16 were considered as non-responders.

Percentage of Participants With Improvement (Reduction ≥4 Points) of Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 16 [ Time Frame: Baseline to Week 16 ]
Pruritus NRS was an assessment tool that was used to report the intensity of a participant¡¦s pruritus (itch), both maximum and average intensity, during a 24-hour recall period. Participants were asked the following question: how would a participant rate his itch at the worst moment during the previous 24 hours (for maximum itch intensity on a scale of 0 - 10 [0 = no itch; 10 = worst itch imaginable]). Participants achieving a reduction of ≥4 points from baseline in weekly average of peak daily pruritus NRS score at Week 16 were reported. Values after first rescue treatment were set to missing and participants with missing peak NRS at Week 16 were considered as non-responders.

Percentage of Participants With Improvement (Reduction ≥3 Points) of Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 16 [ Time Frame: Baseline to Week 16 ]
Pruritus NRS was an assessment tool that was used to report the intensity of a participant¡¦s pruritus (itch), both maximum and average intensity, during a 24-hour recall period. Participants were asked the following question: how would a participant rate his itch at the worst moment during the previous 24 hours (for maximum itch intensity on a scale of 0 - 10 [0 = no itch; 10 = worst itch imaginable]). Participants achieving a reduction of ≥3 points from baseline in weekly average of peak daily pruritus NRS score at Week 16 were reported. Values after first rescue treatment were set to missing and participants with missing peak NRS at Week 16 were considered as non-responders.

Percent Change From Baseline in Peak Daily Pruritus Numerical Rating Scale (NRS) Score to Week 16 [ Time Frame: Baseline to Week 16 ]
Pruritus NRS was an assessment tool that was used to report the intensity of a participant¡¦s pruritus (itch), both maximum and average intensity, during a 24-hour recall period. Participants were asked the following question: how would a participant rate his itch at the worst moment during the previous 24 hours (for maximum itch intensity on a scale of 0 - 10 [0 = no itch; 10 = worst itch imaginable]).

Percentage of Participants With Improvement (Reduction ≥4 Points) of Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 4 [ Time Frame: Baseline to Week 4 ]
Pruritus NRS was an assessment tool that was used to report the intensity of a participant¡¦s pruritus (itch), both maximum and average intensity, during a 24-hour recall period. Participants were asked the following question: how would a participant rate his itch at the worst moment during the previous 24 hours (for maximum itch intensity on a scale of 0 - 10 [0 = no itch; 10 = worst itch imaginable]). Participants achieving a reduction of ≥4 points from baseline in weekly average of peak daily pruritus NRS score at Week 4 were reported. Values after first rescue treatment were set to missing and subjects with missing peak NRS at Week 4 were considered as non-responders.

Percentage of Participants With Improvement (Reduction ≥4 Points) of Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 2 [ Time Frame: Baseline to Week 2 ]
Pruritus NRS was an assessment tool that was used to report the intensity of a participant¡¦s pruritus (itch), both maximum and average intensity, during a 24-hour recall period. Participants were asked the following question: how would a participant rate his itch at the worst moment during the previous 24 hours (for maximum itch intensity on a scale of 0 - 10 [0 = no itch; 10 = worst itch imaginable]). Participants achieving a reduction of ≥4 points from baseline in weekly average of peak daily pruritus NRS score at Week 2 were reported. Values after first rescue treatment were set to missing and participants with missing peak NRS at Week 2 were considered as non-responders.

Change From Baseline in Peak Daily Pruritus Numerical Rating Scale (NRS) Score to Week 16 [ Time Frame: Baseline to Week 16 ]
Pruritus NRS was an assessment tool that was used to report the intensity of a participant¡¦s pruritus (itch), both maximum and average intensity, during a 24-hour recall period. Participants were asked the following question: how would a participant rate his itch at the worst moment during the previous 24 hours (for maximum itch intensity on a scale of 0 - 10 [0 = no itch; 10 = worst itch imaginable]).

Percent Change From Baseline in Eczema Area and Severity Index (EASI) Score to Week 16 [ Time Frame: Baseline to Week 16 ]
The EASI score was used to measure the severity and extent of AD and measured erythema, infiltration, excoriation and lichenification on 4 anatomic regions of the body: head, trunk, upper and lower extremities. The total EASI score ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD.

Percentage of Participants With Eczema Area and Severity Index-50 (EASI-50) (≥50% Improvement From Baseline) at Week 16 [ Time Frame: Week 16 ]
The EASI score was used to measure the severity and extent of AD and measured erythema, infiltration, excoriation and lichenification on 4 anatomic regions of the body: head, trunk, upper and lower extremities. The total EASI score ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD. EASI-50 responders were the participants who achieved ≥50% overall improvement in EASI score from baseline to Week 16. Values after first rescue treatment were set to missing and participants with missing EASI-50 scores at Week 16 were considered as non-responders.

Percentage of Participants With Eczema Area and Severity Index-90 (EASI-90) (≥90% Improvement From Baseline) at Week 16 [ Time Frame: Week 16 ]
The EASI score was used to measure the severity and extent of AD and measured erythema, infiltration, excoriation and lichenification on 4 anatomic regions of the body: head, trunk, upper and lower extremities. The total EASI score ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD. EASI-90 responders were the participants who achieved ≥90% overall improvement in EASI score from baseline to Week 16. Values after first rescue treatment were set to missing and participants with missing EASI-90 scores at Week 16 were considered as non-responders.

Change From Baseline in Percent Body Surface Area (BSA) to Week 16 [ Time Frame: Baseline to Week 16 ]
BSA affected by AD was assessed for each section of the body (the possible highest score for each region was: head and neck [9%], anterior trunk [18%], back [18%], upper limbs [18%], lower limbs [36%], and genitals [1%]). It was reported as a percentage of all major body sections combined.

Percent Change From Baseline in the SCORing Atopic Dermatitis (SCORAD) Score to Week 16 [ Time Frame: Baseline to Week 16 ]
SCORAD is a clinical tool for assessing the severity of AD developed by the European Task Force on Atopic Dermatitis (Severity scoring of atopic dermatitis: the SCORAD index). Consensus Report of the European Task Force on Atopic Dermatitis. Dermatology (Basel) 186 (1): 23-31. 1993. Extent and intensity of eczema as well as subjective signs (insomnia, etc.) are assessed and scored. Total score ranges from 0 (absent disease) to 103 (severe disease).

Change From Baseline in Dermatology Life Quality Index (DLQI) to Week 16 [ Time Frame: Baseline to Week 16 ]
The DLQI is a 10-item, validated questionnaire used in clinical practice and clinical trials to assess the impact of AD disease symptoms and treatment on quality of life (QOL). The 10 questions assessed QOL over the past week, with an overall scoring of 0 (absent disease) to 30 (severe disease); a high score was indicative of a poor QOL.

Change From Baseline in Patient Oriented Eczema Measure (POEM) to Week 16 [ Time Frame: Baseline to Week 16 ]
The POEM is a 7-item questionnaire that assesses disease symptoms (dryness, itching, flaking, cracking, sleep loss, bleeding and weeping) with a scoring system of 0 (absent disease) to 28 (severe disease) (high score indicative of poor quality of life [QOL]).

Change From Baseline in Hospital Anxiety Depression Scale (HADS) to Week 16 [ Time Frame: Baseline to Week 16 ]
HADS is a fourteen item scale. Seven of the items relate to anxiety and seven items relate to depression. Each item on the questionnaire is scored from 0 (minimum score) - 3 (maximum score) and this means that a person can score between 0 (no symptoms) and 21 (severe symptoms) for either anxiety or depression. Cut-offs for identifying psychiatric distress has been reported as 7 to 8 for possible presence, 10 to 11 for probable presence, and 14 to 15 for severe anxiety or depression.

Percent Change From Baseline in Global Individual Signs Score (GISS) to Week 16 [ Time Frame: Baseline to Week 16 ]
Individual components of the AD lesions (erythema, infiltration/ papulation, excoriations, and lichenification) were rated globally (each assessed for the whole body, not by anatomical region) on a 4-point scale (0= none, 1= mild, 2= moderate and 3= severe) using the EASI severity grading criteria. Total score ranges from 0 (absent disease) to 12 (severe disease).

Percent Change From Baseline in Peak Daily Pruritus NRS Score to Week 2 [ Time Frame: Baseline to Week 2 ]
Pruritus NRS was an assessment tool that was used to report the intensity of a participant¡¦s pruritus (itch), both maximum and average intensity, during a 24-hour recall period. Participants were asked the following question: how would a participant rate his itch at the worst moment during the previous 24 hours (for maximum itch intensity on a scale of 0 - 10 [0 = no itch; 10 = worst itch imaginable]).

Percentage of Participants With Skin Infection Treatment Emergent Adverse Events (TEAEs) Requiring Systemic Treatment [ Time Frame: Baseline up to Week 16 ]
Treatment-emergent adverse events (TEAEs) were defined as AEs that developed or worsened or became serious during on-treatment period (time from the first dose of study drug up to the end of study [Week 28]). A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in any of the following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. Any TEAE included participants with both serious and non-serious AEs. Statistical significance in the hierarchical testing of secondary hypotheses was broken at this endpoint. Therefore, subsequent secondary efficacy endpoints were not tested for statistical significance.

Percentage of Participants With Treatment Emergent Serious Adverse Events (TESAEs) From Baseline Through Week 16 [ Time Frame: Baseline up to Week 16 ]
Any untoward medical occurrence in a participant who received investigational medicinal product (IMP) was considered an AE without regard to possibility of causal relationship with this treatment. Treatment-emergent adverse events (TEAEs) were defined as AEs that developed or worsened or became serious during on-treatment period (time from the first dose of study drug up to the end of study [Week 28]). A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in any of the following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. Any TEAE included participants with both serious and non-serious AEs.

Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) Leading to Treatment Discontinuation From Baseline Through Week 16 [ Time Frame: Baseline up to Week 16 ]
Any untoward medical occurrence in a participant who received investigational medicinal product (IMP) was considered an AE without regard to possibility of causal relationship with this treatment. Treatment-emergent adverse events (TEAEs) were defined as AEs that developed or worsened or became serious during on-treatment period (time from the first dose of study drug up to the end of study [Week 28]). A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in any of the following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. Any TEAE included participants with both serious and non-serious AEs.

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