Xbiotech inc. announces first patient enrolled in placebo-controlled clinical study evaluating its anti-il-1? therapy bermekimab in patients with atopic dermatitis (eczema)

Xbiotech inc. has enrolled the first patient in a randomized, double-blind, placebo-controlled phase 2 clinical study to evaluate its il-1a blocking antibody therapy in patients with moderate to severe atopic dermatitis (ad) (also known as eczema). the study will assess weekly bermekimab therapy to reduce inflammatory skin lesions, itch, and pain in patients suffering from eczema. the study will compare three groups of patients over 16 weeks of treatment: a weekly dosing group, a biweekly dosing group, and a placebo group. percentage of patients who achieve a 75% reduction in skin disease after 16 weeks of treatment will be the primary measure of response. the eczema area severity index (easi) scoring system will be used to assess severity of inflammatory skin lesions. another crucial assessment will be patient itch, which is often severe and unrelenting in this disease. a numeric rating scale (nrs) will be used to assess itch and pain at various timepoints ranging from 4-16 weeks. bermekimab was previously tested in a clinical study of patients with moderate to severe ad. those results were previously presented at the annual conferences of the american academy of dermatology (aad) and the european academy of dermatology and venerology (eadv) by renowned dermatologists dr. eric simpson and dr. alice gottlieb, respectively. the findings showed that after only 8 weeks of bermekimab therapy, 75% of patients had achieved 75% improvement in disease severity as assessed by easi score (the current standard of care for biological therapy involves a 16 week treatment regimen and is associated with 44-51% of patients achieving 75% improvement). bermekimab therapy was also associated with a dramatic reduction in itch and pain, with three fourths of patients achieving clinically significant reduction in itch, and 86% achieving clinically significant reduction in pain after only 8 weeks of treatment. inflammation plays a major role in the induction and progression of several skin diseases, including eczema or atopic dermatitis. bermekimab blocks the action of the potent inflammatory substance il-1? found in skin. it has been demonstrated that il-1? is necessary for inducing chronic skin inflammation through aberrant stores of intracellular il-1? in keratinocytes, which constitute approximately 90% of skin cells. il-1? secretion has shown not only to be necessary component in driving skin inflammation, but by itself sufficient to do so. therefore, neutralizing il-1? activity through an inhibitor such as bermekimab has promise to resolve chronic skin inflammation and looks to be a key target for treating atopic dermatitis, along with other inflammatory skin diseases.
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