Trial Outcomes & Findings for A Study to Evaluate the Efficacy and Safety of Imsidolimab (ANB019) in the Treatment of Participants With Ichthyosis (NCT NCT04697056)

NCT ID: NCT04697056

Last Updated: 2025-09-16

Results Overview

IASI quantified the severity of participants ichthyosis based on severity of erythema/scaling \& percentage of body surface area (BSA) affected. Degree of erythema \& scaling scored from 0 (none) to 4 (very severe) for each of 4 body regions (BR) \[A1: head \& neck (H\&N), A2: upper limbs (UL), A3: trunk (T), A4: lower limbs (LL)\]. Percentage of BSA involved for each BR (B1: % in H\&N, B2: % in UL, B3: % in T, B4: % in LL). Percentage involvement was assigned numerical value(0= 0, 1%-9%= 1, 10%-29%= 2, 30%-49%= 3, 50%-69%= 4, 70%-89%= 5, 90%-100%= 6).Total extent was determined using multiplier considering % of total BSA by each BR (C1= 0.1 for H\&N; C2= 0.2 for UL; C3= 0.3 for T; C4= 0.4 for LL). IASI-Erythema (E)= A1E x B1 x C1 + A2E x B2 x C2 + A3E x B3 x C3 + A4E x B4 x C4 (score 0 to 24) IASI-Scaling (S)= A1S x B1 X C1 + A2S x B2 x C2 + A3S x B3 x C3 + A4S x B4 x C4 (score 0 to 24) IASI total score= IASI-E + IASI-S score ranged from 0 - 48, higher score indicated worse disease state.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

5 participants

Primary outcome timeframe

Baseline and Week 16

Results posted on

2025-09-16

Participant Flow

Participants with confirmed diagnosis of ichthyosis by genetic testing of ichthyosis were enrolled into the study.

7 participants were screened for eligibility and 5 participants were randomized into the study.

Participant milestones

Participant milestones
Measure
Imsidolimab
Participants received a starting dose of 400 milligrams (mg) of imsidolimab on Day 1 followed by 200 mg imsidolimab every 4 weeks (Days 29, 57 and 85) by subcutaneous injection.
Placebo
Participants received imsidolimab matching placebo on Day 1 and thereafter every 4 weeks (Days 29, 57 and 85) by subcutaneous injection.
Overall Study
STARTED
4
1
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
4
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Imsidolimab
Participants received a starting dose of 400 milligrams (mg) of imsidolimab on Day 1 followed by 200 mg imsidolimab every 4 weeks (Days 29, 57 and 85) by subcutaneous injection.
Placebo
Participants received imsidolimab matching placebo on Day 1 and thereafter every 4 weeks (Days 29, 57 and 85) by subcutaneous injection.
Overall Study
Termination of the participant participation by the Investigator or Sponsor
4
1

Baseline Characteristics

A Study to Evaluate the Efficacy and Safety of Imsidolimab (ANB019) in the Treatment of Participants With Ichthyosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Imsidolimab
n=4 Participants
Participants received a starting dose of 400 mg of imsidolimab on Day 1 followed by 200 mg imsidolimab every 4 weeks (Days 29, 57 and 85) by subcutaneous injection.
Placebo
n=1 Participants
Participants received imsidolimab matching placebo on Day 1 and thereafter, every 4 weeks (Days 29, 57 and 85) by subcutaneous injection.
Total
n=5 Participants
Total of all reporting groups
Age, Continuous
39.0 years
STANDARD_DEVIATION 20.15 • n=99 Participants
66.0 years
n=107 Participants
44.4 years
STANDARD_DEVIATION 21.22 • n=206 Participants
Sex: Female, Male
Female
3 Participants
n=99 Participants
0 Participants
n=107 Participants
3 Participants
n=206 Participants
Sex: Female, Male
Male
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=99 Participants
1 Participants
n=107 Participants
5 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
2 Participants
n=99 Participants
1 Participants
n=107 Participants
3 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
White
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Baseline and Week 16

Population: Due to early study termination before the primary time point, efficacy data was not collected, therefore, not analyzed.

IASI quantified the severity of participants ichthyosis based on severity of erythema/scaling \& percentage of body surface area (BSA) affected. Degree of erythema \& scaling scored from 0 (none) to 4 (very severe) for each of 4 body regions (BR) \[A1: head \& neck (H\&N), A2: upper limbs (UL), A3: trunk (T), A4: lower limbs (LL)\]. Percentage of BSA involved for each BR (B1: % in H\&N, B2: % in UL, B3: % in T, B4: % in LL). Percentage involvement was assigned numerical value(0= 0, 1%-9%= 1, 10%-29%= 2, 30%-49%= 3, 50%-69%= 4, 70%-89%= 5, 90%-100%= 6).Total extent was determined using multiplier considering % of total BSA by each BR (C1= 0.1 for H\&N; C2= 0.2 for UL; C3= 0.3 for T; C4= 0.4 for LL). IASI-Erythema (E)= A1E x B1 x C1 + A2E x B2 x C2 + A3E x B3 x C3 + A4E x B4 x C4 (score 0 to 24) IASI-Scaling (S)= A1S x B1 X C1 + A2S x B2 x C2 + A3S x B3 x C3 + A4S x B4 x C4 (score 0 to 24) IASI total score= IASI-E + IASI-S score ranged from 0 - 48, higher score indicated worse disease state.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and Week 16

Population: Due to early study termination before the primary time point, efficacy data was not collected, therefore, not analyzed.

IASI quantified the severity of participants ichthyosis based on severity of erythema/scaling, \& percentage of BSA affected. Degree of erythema \& scaling scored from 0 (none) to 4 (very severe) for each of 4 BR (A1: H\&N, A2: UL, A3: T, A4: LL). Percentage of BSA involved for each BR (B1: % in H\&N, B2: % in UL, B3: % in T, B4: % in LL). Percentage involvement was assigned numerical value (0= 0, 1%-9%= 1, 10%-29%= 2, 30%-49%= 3, 50%-69%= 4, 70%-89%= 5, 90%-100%= 6). Total extent was determined using a multiplier considering % of total BSA by each BR (C1= 0.1 for H\&N; C2= 0.2 for UL; C3= 0.3 for T; C4= 0.4 for LL). IASI-E= A1E x B1 x C1 + A2E x B2 x C2 + A3E x B3 x C3 + A4E x B4 x C4 (score 0 to 24) IASI-S= A1S x B1 X C1 + A2S x B2 x C2 + A3S x B3 x C3 + A4S x B4 x C4 (score 0 to 24) IASI total score= IASI-E + IASI-S score ranged from 0 - 48, higher score indicated worse disease state.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 16

Population: Due to early study termination before the primary time point, efficacy data was not collected, therefore, not analyzed.

IASI quantified the severity of participants ichthyosis based on severity of erythema/scaling, \& percentage of BSA affected. Degree of erythema \& scaling scored from 0 (none) to 4 (very severe) for each of 4 BR (A1: H\&N, A2: UL, A3: T, A4: LL). Percentage of BSA involved for each BR (B1: % in H\&N, B2: % in UL, B3: % in T, B4: % in LL). Percentage involvement was assigned numerical value (0= 0, 1%-9%= 1, 10%-29%= 2, 30%-49%= 3, 50%-69%= 4, 70%-89%= 5, 90%-100%= 6). Total extent was determined using a multiplier considering % of total BSA by each BR (C1= 0.1 for H\&N; C2= 0.2 for UL; C3= 0.3 for T; C4= 0.4 for LL). IASI-E= A1E x B1 x C1 + A2E x B2 x C2 + A3E x B3 x C3 + A4E x B4 x C4 (score 0 to 24) IASI-S= A1S x B1 X C1 + A2S x B2 x C2 + A3S x B3 x C3 + A4S x B4 x C4 (score 0 to 24) IASI total score= IASI-E + IASI-S score ranged from 0 - 48, higher score indicated worse disease state.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and Week 16

Population: Due to early study termination before the primary time point, efficacy data was not collected, therefore, not analyzed.

IASI quantified the severity of participants ichthyosis based on severity of erythema/scaling, \& percentage of BSA affected. Degree of erythema \& scaling scored from 0 (none) to 4 (very severe) for each of 4 BR (A1: H\&N, A2: UL, A3: T, A4: LL). Percentage of BSA involved for each BR (B1: % in H\&N, B2: % in UL, B3: % in T, B4: % in LL). Percentage involvement was assigned numerical value (0= 0, 1%-9%= 1, 10%-29%= 2, 30%-49%= 3, 50%-69%= 4, 70%-89%= 5, 90%-100%= 6). Total extent was determined using a multiplier considering % of total BSA by each BR (C1= 0.1 for H\&N; C2= 0.2 for UL; C3= 0.3 for T; C4= 0.4 for LL). IASI-E= A1E x B1 x C1 + A2E x B2 x C2 + A3E x B3 x C3 + A4E x B4 x C4 IASI-E score ranged from 0 - 24, higher score indicated worse disease state.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and Week 16

Population: Due to early study termination before the primary time point, efficacy data was not collected, therefore, not analyzed.

IASI quantified the severity of participants ichthyosis based on severity of erythema/scaling, \& percentage of BSA affected. Degree of erythema \& scaling scored from 0 (none) to 4 (very severe) for each of 4 BR (A1: H\&N, A2: UL, A3: T, A4: LL). Percentage of BSA involved for each BR (B1: % in H\&N, B2: % in UL, B3: % in T, B4: % in LL). Percentage involvement was assigned numerical value (0= 0, 1%-9%= 1, 10%-29%= 2, 30%-49%= 3, 50%-69%= 4, 70%-89%= 5, 90%-100%= 6). Total extent was determined using a multiplier considering % of total BSA by each BR (C1= 0.1 for H\&N; C2= 0.2 for UL; C3= 0.3 for T; C4= 0.4 for LL). IASI-S= A1S x B1 X C1 + A2S x B2 x C2 + A3S x B3 x C3 + A4S x B4 x C4 IASI-S score ranged from 0 - 24, higher score indicated worse disease state.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and Week 16

Population: Due to early study termination before the primary time point, efficacy data was not collected, therefore, not analyzed.

IASI quantified the severity of participants ichthyosis based on severity of erythema/scaling, \& percentage of BSA affected. Degree of erythema \& scaling scored from 0 (none) to 4 (very severe) for each of 4 BR (A1: H\&N, A2: UL, A3: T, A4: LL). Percentage of BSA involved for each BR (B1: % in H\&N, B2: % in UL, B3: % in T, B4: % in LL). Percentage involvement was assigned numerical value (0= 0, 1%-9%= 1, 10%-29%= 2, 30%-49%= 3, 50%-69%= 4, 70%-89%= 5, 90%-100%= 6). Total extent was determined using a multiplier considering % of total BSA by each BR (C1= 0.1 for H\&N; C2= 0.2 for UL; C3= 0.3 for T; C4= 0.4 for LL). IASI-E= A1E x B1 x C1 + A2E x B2 x C2 + A3E x B3 x C3 + A4E x B4 x C4 IASI-E score ranged from 0 - 24, higher score indicated worse disease state.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and Week 16

Population: Due to early study termination before the primary time point, efficacy data was not collected, therefore, not analyzed.

IASI quantified the severity of participants ichthyosis based on severity of erythema/scaling, \& percentage of BSA affected. Degree of erythema \& scaling scored from 0 (none) to 4 (very severe) for each of 4 BR (A1: H\&N, A2: UL, A3: T, A4: LL). Percentage of BSA involved for each BR (B1: % in H\&N, B2: % in UL, B3: % in T, B4: % in LL). Percentage involvement was assigned numerical value (0= 0, 1%-9%= 1, 10%-29%= 2, 30%-49%= 3, 50%-69%= 4, 70%-89%= 5, 90%-100%= 6). Total extent was determined using a multiplier considering % of total BSA by each BR (C1= 0.1 for H\&N; C2= 0.2 for UL; C3= 0.3 for T; C4= 0.4 for LL). IASI-S= A1S x B1 X C1 + A2S x B2 x C2 + A3S x B3 x C3 + A4S x B4 x C4 IASI-S score ranged from 0 - 24, higher score indicated worse disease state.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: From first dose up to study termination (maximum up to 9.4 weeks)

Population: Safety analysis set included all randomized participants who received at least 1 dose of imsidolimab or placebo.

An AE was any untoward medical occurrence in a participant temporally associated with the use of a study treatment, whether or not considered related to the study treatment. An AE could therefore be any unfavorable and unintended sign (including abnormal laboratory finding), symptom, or disease temporally associated with use of study treatment that did not necessarily have a causal relationship with this treatment. An AE was considered "serious" if there was any of the following outcomes: death, life-threatening adverse event, Inpatient hospitalization or prolongation of existing hospitalization, persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, congenital anomaly/birth defect, other important medical events. An adverse event was considered TE if the date of onset was during or after first dose of study treatment, or if the AE present at baseline worsened in either intensity or frequency after first dose of study treatment.

Outcome measures

Outcome measures
Measure
Imsidolimab
n=4 Participants
Participants received a starting dose of 400 mg of imsidolimab on Day 1 followed by 200 mg imsidolimab every 4 weeks (Days 29, 57 and 85) by subcutaneous injection.
Placebo
n=1 Participants
Participants received imsidolimab matching placebo on Day 1 and thereafter every 4 weeks (Days 29, 57 and 85) by subcutaneous injection.
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Any TEAEs
1 participants
1 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Serious TEAEs
0 participants
0 participants

Adverse Events

Imsidolimab

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Imsidolimab
n=4 participants at risk
Participants received a starting dose of 400 mg of imsidolimab on Day 1 followed by 200 mg imsidolimab every four 4 (Days 29, 57 and 85) by subcutaneous injection.
Placebo
n=1 participants at risk
Participants received imsidolimab matching placebo on Day 1 and thereafter every four 4 (Days 29, 57 and 85) by subcutaneous injection.
General disorders
Fatigue
25.0%
1/4 • Number of events 1 • From first dose up to study termination (maximum up to 9.4 weeks)
Safety analysis set included all randomized participants who received at least 1 dose of imsidolimab or placebo.
0.00%
0/1 • From first dose up to study termination (maximum up to 9.4 weeks)
Safety analysis set included all randomized participants who received at least 1 dose of imsidolimab or placebo.
General disorders
Peripheral swelling
0.00%
0/4 • From first dose up to study termination (maximum up to 9.4 weeks)
Safety analysis set included all randomized participants who received at least 1 dose of imsidolimab or placebo.
100.0%
1/1 • Number of events 1 • From first dose up to study termination (maximum up to 9.4 weeks)
Safety analysis set included all randomized participants who received at least 1 dose of imsidolimab or placebo.
Infections and infestations
Herpes simplex reactivation
25.0%
1/4 • Number of events 1 • From first dose up to study termination (maximum up to 9.4 weeks)
Safety analysis set included all randomized participants who received at least 1 dose of imsidolimab or placebo.
0.00%
0/1 • From first dose up to study termination (maximum up to 9.4 weeks)
Safety analysis set included all randomized participants who received at least 1 dose of imsidolimab or placebo.
Injury, poisoning and procedural complications
Procedural pain
0.00%
0/4 • From first dose up to study termination (maximum up to 9.4 weeks)
Safety analysis set included all randomized participants who received at least 1 dose of imsidolimab or placebo.
100.0%
1/1 • Number of events 1 • From first dose up to study termination (maximum up to 9.4 weeks)
Safety analysis set included all randomized participants who received at least 1 dose of imsidolimab or placebo.
Musculoskeletal and connective tissue disorders
Inguinal mass
0.00%
0/4 • From first dose up to study termination (maximum up to 9.4 weeks)
Safety analysis set included all randomized participants who received at least 1 dose of imsidolimab or placebo.
100.0%
1/1 • Number of events 1 • From first dose up to study termination (maximum up to 9.4 weeks)
Safety analysis set included all randomized participants who received at least 1 dose of imsidolimab or placebo.
Nervous system disorders
Headache
25.0%
1/4 • Number of events 1 • From first dose up to study termination (maximum up to 9.4 weeks)
Safety analysis set included all randomized participants who received at least 1 dose of imsidolimab or placebo.
0.00%
0/1 • From first dose up to study termination (maximum up to 9.4 weeks)
Safety analysis set included all randomized participants who received at least 1 dose of imsidolimab or placebo.
Skin and subcutaneous tissue disorders
Night sweats
0.00%
0/4 • From first dose up to study termination (maximum up to 9.4 weeks)
Safety analysis set included all randomized participants who received at least 1 dose of imsidolimab or placebo.
100.0%
1/1 • Number of events 1 • From first dose up to study termination (maximum up to 9.4 weeks)
Safety analysis set included all randomized participants who received at least 1 dose of imsidolimab or placebo.
Skin and subcutaneous tissue disorders
Skin lesion
0.00%
0/4 • From first dose up to study termination (maximum up to 9.4 weeks)
Safety analysis set included all randomized participants who received at least 1 dose of imsidolimab or placebo.
100.0%
1/1 • Number of events 1 • From first dose up to study termination (maximum up to 9.4 weeks)
Safety analysis set included all randomized participants who received at least 1 dose of imsidolimab or placebo.

Additional Information

Vanda Pharmaceuticals

Vanda Pharmaceuticals

Phone: 202-734-3400

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place