IL 4 and IL 13 signaling via IL-4Rα plays key roles in the pathogenesis of atopic dermatitis (AD) and asthma.Rademikibart (formerly CBP 201), a next generation human IgG4 kappa monoclonal antibody, blocks IL 4Rα mediated signal transduction.We performed two phase I, randomized, double blind, placebo controlled trials.In a single ascending dose trial, 40 healthy adults were randomized 3:1 to rademikibart or placebo, with 12 wk of follow up.In the multiple ascending dose trial, 31 adults with moderate-to-severe AD were randomized 4:1 to once weekly rademikibart or placebo for 4 wk, plus 7 wk of follow-up.Most treatment emergent adverse events (TEAEs) were mild; none were serious.Two s.c. injection site reactions and one TEAE of conjunctivitis were reported, all were mild.Rapid and sustained improvements were observed in AD severity and in quality of life (QoL), without plateauing.At week 4, efficacy scores improved by a maximum of (Eczema Area and Severity Index), (body surface area), (Pruritus Numerical Rating Scale [PNRS] severity), (PNRS frequency), and (Dermatol. Life Quality Index).Thymus activation regulated chemokine inflammatory biomarker concentrations decreased in both trials.Exposure to rademikibart increased in a greater than dose proportional manner, suggesting nonlinear clearance.In summary, rademikibart was well tolerated and associated with rapid and sustained improvements in eczematous lesions, pruritus, QoL, and inflammatory biomarker concentrations during 4 wk of treatment.Efficacy responses did not plateau and were generally dose dependent.These promising findings support further development of rademikibart in patients with AD.