| NCT ID | Title | Phase | Status | Enrollment | Velocity | Design | Start | Completion | Last Updated | Sites | Countries |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NCT02755649 | A Study to Assess the Efficacy and Safety of Dupilumab in Participants With Severe Atopic Dermatitis (AD) That Are Not Controlled With Oral Cyclosporine A (CSA) or for Those Who Cannot Take Oral CSA Because it is Not Medically Advisable | PHASE3 | COMPLETED | 325 | — | — | Jan 31, 2016 | Mar 31, 2017 | Aug 20, 2020 | 73 | Austria, Belgium +8 |
| NCT02612454 | Study to Assess the Long-term Safety of Dupilumab Administered in Participants ≥6 Months to <18 Years of Age With Atopic Dermatitis (AD) | PHASE3 | ACTIVE NOT_RECRUITING | 880 | — | — | Oct 15, 2015 | Oct 7, 2026 | May 29, 2026 | 84 | United States, Canada +5 |
| NCT02395133 | A Study to Confirm the Efficacy and Safety of Different Dupilumab Dose Regimens in Adults With Atopic Dermatitis (AD) | PHASE3 | COMPLETED | 422 | — | — | Mar 25, 2015 | Oct 18, 2016 | Mar 11, 2020 | - | — |
| NCT02260986 | Study to Assess the Efficacy and Long-term Safety of Dupilumab (REGN668/SAR231893) in Adult Participants With Moderate-to-Severe Atopic Dermatitis | PHASE3 | COMPLETED | 740 | — | — | Sep 1, 2014 | Oct 1, 2016 | Oct 17, 2017 | 148 | United States, Australia +12 |
| NCT01949311 | Open-label Study of Dupilumab in Patients With Atopic Dermatitis | PHASE3 | COMPLETED | 2,733 | — | — | Oct 10, 2013 | Jun 27, 2022 | Oct 17, 2023 | 432 | United States, Australia +26 |
| NCT02407756 | A Study to Determine the Safety and Tolerability of Dupilumab (REGN668/SAR231893) in Patients Aged ≥6 to <18 Years With Atopic Dermatitis (Eczema) | PHASE2 | COMPLETED | 78 | — | — | Mar 31, 2015 | Mar 31, 2016 | Nov 27, 2020 | 26 | Canada, Czechia +4 |
| NCT02210780 | Study of Dupilumab and Immune Responses in Adults With Atopic Dermatitis (AD) | PHASE2 | COMPLETED | 194 | — | — | Aug 5, 2014 | Sep 15, 2015 | May 7, 2020 | 42 | United States |
| NCT01859988 | Study of Dupilumab Administered to Adult Patients With Moderate-to-Severe Atopic Dermatitis | PHASE2 | COMPLETED | 380 | — | — | May 1, 2013 | Sep 1, 2014 | Aug 28, 2017 | 84 | United States, Canada +5 |
| NCT01639040 | Study to Assess the Safety of Dupilumab (REGN668/SAR231893) Administered Concomitantly With Topical Corticosteroids (TCS) in Patients With Moderate-to-severe Atopic Dermatitis (AD) | PHASE2 | COMPLETED | 31 | — | — | Jul 1, 2012 | Dec 1, 2012 | Oct 13, 2017 | 13 | Germany, Hungary +1 |
| NCT01548404 | Study of Dupilumab in Adult Patients With Extrinsic Moderate-to-Severe Atopic Dermatitis | PHASE2 | COMPLETED | 109 | — | — | Apr 1, 2012 | Jun 1, 2013 | Aug 10, 2018 | 21 | Czechia, France +3 |
| NCT02647086 | Open Label, Drug-Drug Interaction (DDI) Study of Dupilumab (REGN668/SAR231893) in Patients With Moderate to Severe Atopic Dermatitis (AD) | PHASE1 | COMPLETED | 14 | — | — | Dec 1, 2015 | Jul 1, 2016 | Aug 22, 2016 | 5 | United States |
| NCT01385657 | Safety and Tolerability of Dupilumab in Participants With Moderate to Severe Atopic Dermatitis | PHASE1 | COMPLETED | 37 | — | — | Jul 31, 2011 | Mar 31, 2012 | Feb 26, 2020 | 13 | Australia, Germany +1 |
The EASI score is used to measure the severity and extent of atopic dermatitis (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. The analysis population for efficacy analyses is the Full Analysis Set (FAS) which included all randomized participants. Efficacy analyses were based on the treatment allocated (as randomized).
Peak serum concentration after multiple doses of dupilumab administered using the PFP (test) relative to the prefilled syringe (reference)
Drug concentration in serum after multiple doses of dupilumab administered using the PFP (test) relative to the prefilled syringe (reference)
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. Difference of percent change in EASI between current study baseline and week 36 in from parent study baseline (NCT02277743 and NCT02277769) was reported. Values after first rescue treatment used were set to missing before multiple imputation (MI).
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 at Week 36. Values after first rescue treatment used were set to missing. Patients with missing value at week 36 were considered as a non-responder.
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 "0" or "1" and a reduction from baseline of ≥2 points at Week 16 were reported.
Adverse events of special interest in this study include: Anaphylactic reactions, Systemic hypersensitivity reactions, Helminthic infections, Any severe type of conjunctivitis or blepharitis, Keratitis, Clinically symptomatic eosinophilia (or eosinophilia associated with clinical symptoms)
Peak dupilumab concentration in serum following single dose administration. Analysis was performed on PK analysis set that included all treated subjects who received the study medication and had at least 1 quantified (non-missing) result for dupilumab concentration following the first dose of the study drug.
Mean AUC estimates were calculated using mean concentration data at each time point, using a non-compartmental approach (NCA). Calculated AUClast (computed from time zero to the time of the last positive concentration) are presented. Analysis was performed on PK analysis set that included all treated subjects who received the study medication and had at least 1 quantified (non-missing) result for dupilumab concentration following the first dose of the study drug.
Analysis was performed on PK analysis set that included all treated subjects who received the study medication and had at least 1 quantified (non-missing) result for dupilumab concentration following the first dose of study drug.
A positive response was defined as a ≥ 4-fold increase from pre-vaccination at baseline in anti-tetanus immunoglobulin G (IgG) titer for participants with a pre-vaccination tetanus antibody titers ≥ 0.1 IU/ml or a titer of ≥ 0.2 IU/ml for participants with pre-vaccination titers of \<0.1 IU/ml. There was no planned statistical hypothesis testing regarding the difference in immune response between the 2 treatment groups for this study, therefore no formal statistical hypothesis between groups was performed.
The EASI score was used to measure the severity and extent of atopic dermatitis (AD) and measures erythema, infiltration, excoriation and lichenification on 4 anatomic regions of the body: head, trunk, upper and lower extremities. The total EASI score range from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD.
Any untoward medical occurrence in a subject 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 (from start of administration of first dose of study drug to the end of study \[up to Day 78\]). A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in any of 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.
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. The efficacy data were set to be missing after use of rescue medication and after early termination visit for participants who prematurely discontinued study treatment. All missing values were imputed by LOCF.
| Arm | Type | Description |
|---|---|---|
| Placebo QW + TCS | EXPERIMENTAL | Participants received one subcutaneous (SC) injection of dupilumab matching placebo once per week (QW) (following two SC injections on day 1) from Week 1 to Week 15. All participants were required to undergo treatment with topical corticosteroids (TCS) using a standardized regimen that continued through the end of the treatment period (Week 16). Starting at week 16, participants could roll over into an open-label extension (OLE) study (R668-AD-1225), if they were considered eligible. Participants who did not enter the OLE study were followed for up to an additional 12 weeks for safety (\[Week 28, end of study (EOS) period\]). |
| Dupilumab 300 mg Q2W + TCS | EXPERIMENTAL | Participants received one subcutaneous (SC) injection of dupilumab 300 mg every 2 weeks (Q2W) from Week 1 to Week 15 (following a SC loading dose of 600 mg on day 1). During weeks in which dupilumab was not administered, participants received matching placebo. All participants were required to undergo treatment with topical corticosteroids (TCS) using a standardized regimen that continued through the end of the treatment period (Week 16). Starting at week 16, participants could roll over into an open-label extension (OLE) study (R668-AD-1225), if they were considered eligible. Participants who did not enter the OLE study were followed for up to an additional 12 weeks for safety (\[Week 28, end of study (EOS) period\]). |
| Dupilumab 300 mg QW + TCS | EXPERIMENTAL | Participants received one subcutaneous (SC) injection of dupilumab 300 mg once per week (QW) (following an SC loading dose of 600 mg on day 1) from Week 1 to Week 15. All participants were required to undergo treatment with topical corticosteroids (TCS) using a standardized regimen that continued through the end of the treatment period (Week 16). Starting at week 16, participants could roll over into an open-label extension (OLE) study (R668-AD-1225), if they were considered eligible. Participants who did not enter the OLE study were followed for up to an additional 12 weeks for safety (\[Week 28, end of study (EOS) period\]). |
| Body weight ≥60 kg | EXPERIMENTAL | Administered every two weeks (Q2W) |
| Body weight 30 kg to <60 kg | EXPERIMENTAL | Administered Q2W |
| Body weight 15 kg to <30 kg | EXPERIMENTAL | Administered every 4 weeks (Q4W) |
| Body weight 5 kg to <15 kg | EXPERIMENTAL | Administered Q4W |
| Placebo | PLACEBO_COMPARATOR | Subcutaneous injection of Placebo (for Dupilumab) was administered once weekly (QW) from Week 1 (Day 1) to Week 36. |
| Dupilumab 300 mg Q8W | EXPERIMENTAL | Subcutaneous injection of Dupilumab 300 milligram (mg) alternatively with placebo (matched to Dupilumab) was administered once every eight week (Q8W) from Week 1 to Week 36. |
| Dupilumab 300 mg Q4W | EXPERIMENTAL | Subcutaneous injection of Dupilumab 300 mg alternatively with placebo (matched to Dupilumab) was administered once every four week (Q4W) from Week 1 to Week 36. |
| Dupilumab 300 mg Q2W/QW | EXPERIMENTAL | Subcutaneous injection of Dupilumab 300 mg alternatively with placebo (matched to Dupilumab) was administered once every week (QW) or twice a week (Q2W) from Week 1 to Week 36. |
| Placebo qw | EXPERIMENTAL | Two subcutaneous injections of Placebo (for Dupilumab) as a loading dose on Day 1 followed by a single injection weekly (qw) from Week 1 to Week 51. |
| Dupilumab 300 mg q2w | EXPERIMENTAL | Two subcutaneous injections of Dupilumab 300 mg (for a total of 600 mg) as a loading dose on Day 1, followed by placebo (for Dupilumab) alternating with single 300 mg injection of Dupilumab every 2 weeks (q2w) from Week 1 to Week 51. During weeks in which Dupilumab was not administered, participants received placebo. |
| Dupilumab 300 mg qw | EXPERIMENTAL | Two subcutaneous injections of Dupilumab 300 mg (for a total of 600 mg) as a loading dose on Day 1, followed by a single 300 mg injection of Dupilumab qw from Week 1 to Week 51. |
| Dupilumab | EXPERIMENTAL | Participants will receive repeat doses of dupilumab |
| Cohort 1 | EXPERIMENTAL | Cohort 1 will receive dupilumab dosing regimen 1 |
| Cohort 2 | EXPERIMENTAL | Cohort 2 will receive dupilumab dosing regimen 2 |
| Dupilumab 200 mg q2w | EXPERIMENTAL | Two subcutaneous injections of Dupilumab 200 mg (for a total of 400 mg) as a loading dose on Day 1, followed by a single injection of Placebo (for Dupilumab) alternating with single 200 mg injection of Dupilumab q2w from Week 1 to Week 15. |
| Dupilumab 100 mg q4w | EXPERIMENTAL | Two subcutaneous injections of Dupilumab 200 mg (for a total of 400 mg) as a loading dose on Day 1, followed by a single 100 mg injection of Dupilumab q4w and Placebo (for Dupilumab) qw when Dupilumab not administered from Week 1 to Week 15. |
| Dupilumab 300 mg | EXPERIMENTAL | Dupilumab 300 mg once weekly for 12 weeks by SC injection. |
| Period 1 | EXPERIMENTAL | Patients will receive selected Cytochrome P450 substrates (Midazolam, Omeprazole, Warfarin, Caffeine, Metoprololin) in period 1 (day 1) |
| Period 2 | EXPERIMENTAL | Patients will receive dupilumab starting in Period 2 (day 8) and continue weekly through day 50; Patients will receive selected Cytochrome P450 substrates (Midazolam, Omeprazole, Warfarin, Caffeine, Metoprolol) in period 2 (at day 36). |
| Dupilumab 150 mg | EXPERIMENTAL | Dupilumab 150 mg as a single SC injection on Day 1, 8, 15, and 22 |
| Name | Type | Description |
|---|---|---|
| Dupilumab | DRUG | - |
| Matching Placebo | DRUG | - |
| Placebo | DRUG | Subcutaneous injection of Placebo (for Dupilumab) was administered once weekly (QW). |
| Placebo (for Dupilumab) | DRUG | Subcutaneous injection in the different quadrants of the abdomen (avoiding navel and waist areas) and upper thighs |
| Topical Corticosteroid (TCS) | OTHER | All participants were required to treatment with a (TCS) using a standardized regimen. It was recommended that participants use triamcinolone acetonide 0.1% cream or fluocinolone acetonide 0.025% ointment for medium potency, and hydrocortisone 1% cream for low potency. |
| Midazolam | DRUG | Cytochrome P450 substrate |
| Omeprazole | DRUG | Cytochrome P450 substrate |
| Warfarin | DRUG | Cytochrome P450 substrate |
| Caffeine | DRUG | Cytochrome P450 substrate |
| Metoprolol | DRUG | Cytochrome P450 substrate |
| Background treatment | OTHER | Participants were required to apply stable doses of an additive-free, basic bland emollient on the affected areas of the skin twice daily throughout the study. |
Inclusion Criteria: 1. Male or female, 18 years or older 2. Severe, Chronic AD, (according to American Academy of Dermatology Consensus Criteria \[Eichenfield 2014\]) for whom treatment with potent TCS is indicated 3. EASI score ≥20 at the screening and baseline visits 4. IGA score ≥3 (on the 0 to ...