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Dupilumab

Phase 3

Atopic Dermatitis | Small molecule | Immunology |Regeneron Pharmaceuticals, Inc.|Last Updated: May 29, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials12
Total Enrollment5,943
FDA Designations
PRIORITY_REVIEWORPHAN_DRUG
Clinical Trials (12)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02755649A 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 AdvisablePHASE3 COMPLETED 325Jan 31, 2016Mar 31, 2017Aug 20, 202073 Austria, Belgium +8
NCT02612454Study 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 880Oct 15, 2015Oct 7, 2026May 29, 202684 United States, Canada +5
NCT02395133A Study to Confirm the Efficacy and Safety of Different Dupilumab Dose Regimens in Adults With Atopic Dermatitis (AD)PHASE3 COMPLETED 422Mar 25, 2015Oct 18, 2016Mar 11, 2020 -
NCT02260986Study to Assess the Efficacy and Long-term Safety of Dupilumab (REGN668/SAR231893) in Adult Participants With Moderate-to-Severe Atopic DermatitisPHASE3 COMPLETED 740Sep 1, 2014Oct 1, 2016Oct 17, 2017148 United States, Australia +12
NCT01949311Open-label Study of Dupilumab in Patients With Atopic DermatitisPHASE3 COMPLETED 2,733Oct 10, 2013Jun 27, 2022Oct 17, 2023432 United States, Australia +26
NCT02407756A Study to Determine the Safety and Tolerability of Dupilumab (REGN668/SAR231893) in Patients Aged ≥6 to <18 Years With Atopic Dermatitis (Eczema)PHASE2 COMPLETED 78Mar 31, 2015Mar 31, 2016Nov 27, 202026 Canada, Czechia +4
NCT02210780Study of Dupilumab and Immune Responses in Adults With Atopic Dermatitis (AD)PHASE2 COMPLETED 194Aug 5, 2014Sep 15, 2015May 7, 202042 United States
NCT01859988Study of Dupilumab Administered to Adult Patients With Moderate-to-Severe Atopic DermatitisPHASE2 COMPLETED 380May 1, 2013Sep 1, 2014Aug 28, 201784 United States, Canada +5
NCT01639040Study 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 31Jul 1, 2012Dec 1, 2012Oct 13, 201713 Germany, Hungary +1
NCT01548404Study of Dupilumab in Adult Patients With Extrinsic Moderate-to-Severe Atopic DermatitisPHASE2 COMPLETED 109Apr 1, 2012Jun 1, 2013Aug 10, 201821 Czechia, France +3
NCT02647086Open Label, Drug-Drug Interaction (DDI) Study of Dupilumab (REGN668/SAR231893) in Patients With Moderate to Severe Atopic Dermatitis (AD)PHASE1 COMPLETED 14Dec 1, 2015Jul 1, 2016Aug 22, 20165 United States
NCT01385657Safety and Tolerability of Dupilumab in Participants With Moderate to Severe Atopic DermatitisPHASE1 COMPLETED 37Jul 31, 2011Mar 31, 2012Feb 26, 202013 Australia, Germany +1
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Study Endpoints
Primary Endpoints
Percentage of Participants With Eczema Area and Severity Index (EASI) 75 (≥75% Improvement From Baseline) at Week 16
Baseline, Week 16

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).

Rate of treatment-emergent adverse events (TEAEs) per participant year from baseline through the last study visit
Baseline up to week 272
Number of participants with at least one TEAE per participant year from baseline through the last study visit
Baseline up to week 272
OPTIONAL SUB-STUDY: Pharmacokinetic (PK) of dupilumab: Peak concentration (Cmax)
Up to week 16

Peak serum concentration after multiple doses of dupilumab administered using the PFP (test) relative to the prefilled syringe (reference)

OPTIONAL SUB-STUDY: PK of dupilumab: Trough concentration (Ctrough)
Up to week 16

Drug concentration in serum after multiple doses of dupilumab administered using the PFP (test) relative to the prefilled syringe (reference)

OPTIONAL SUB-STUDY: Incidence of TEAEs during the 12-week PFP treatment period and during entire sub-study
Up to week 16
OPTIONAL SUB-STUDY: Incidence of SAEs during the 12-week PFP treatment period and during entire sub-study
Up to week 16
Difference Between Current Study Baseline and Week 36 in Percent Change in EASI From Parent Study Baseline (NCT02277743 and NCT02277769)
Baseline (Parent Study), Baseline (Current Study) and Week 36 (Current study)

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).

Percentage of Participants With Eczema Area and Severity Index >= 75% [EASI-75] at Baseline of Current Study Maintaining EASI-75 at Week 36
Week 36

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.

Percentage of Participants With Investigator's Global Assessment (IGA) Score of "0" or "1" and Reduction From Baseline of ≥2 Points at Week 16
Baseline to 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 "0" or "1" and a reduction from baseline of ≥2 points at Week 16 were reported.

Number of Treatment Emergent Adverse Events (TEAEs)
Up to 272 weeks
OPTIONAL SUB-STUDY: Number of Adverse Events of Special Interest (AESIs) Through the Last Study Visit After Switching to the New Dupilumab Drug Product
Up to 24 Weeks

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)

Pharmacokinetics (PK) of Dupilumab: Maximum Plasma Concentration Observed (Cmax) After Single Administration
Day 2, 4, 8, 15, 22, 29, 36, 43, and 50

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.

PK of Dupilumab: Area Under the Plasma Concentration Versus Time Curve (AUClast) After Single Administration
Day 2, 4, 8, 15, 22, 29, 36, 43, and 50

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.

PK of Dupilumab: Trough Dupilumab Concentration in Serum (Ctrough) Before 3rd and 4th Repeated Dose
Pre-dose on Day 71 and Day 85

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.

Percentage of Participants With a Positive Response (≥4-Fold Increase) to Tetanus Toxoid (the Adacel [Tdap] Vaccine) at Week 16
Week 16

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.

Percent Change in Eczema Area and Severity Index Score (EASI) From Baseline to Week 16
Baseline to Week 16

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.

Percentage of Participants With Treatment Emergent Adverse Events (TEAEs)
Baseline up to the end of study (up to Day 78)

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.

Percent Change From Baseline in Eczema Area and Severity Index (EASI) Score at Week 12- Last Observation Carried Forward (LOCF)
Baseline to Week 12

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.

Ratio of Area Under Curve last (AUClast) and maximum concentration (Cmax) for Cytochrome P450 substrates from pre-dupilumab administration at baseline (period 1, day 1)
At Baseline (day 1)
Ratio of AUClast and Cmax for CYP substrates 4 weeks after initiating a weekly regimen of dupilumab (period 2, day 36)
At day 36
Secondary Endpoints
Percent Change From Baseline in Eczema Area and Severity Index (EASI) Score at Week 16
Baseline, Week 16
Percent Change From Baseline in Weekly Average of Peak Pruritus Numerical Rating Scale (NRS) at Week 16
Baseline, Week 16
Percent Change From Baseline in SCORing Atopic Dermatitis (SCORAD) Score at Week 16
Baseline, Week 16
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Placebo QW + TCSEXPERIMENTALParticipants 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 + TCSEXPERIMENTALParticipants 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 + TCSEXPERIMENTALParticipants 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 kgEXPERIMENTALAdministered every two weeks (Q2W)
Body weight 30 kg to <60 kgEXPERIMENTALAdministered Q2W
Body weight 15 kg to <30 kgEXPERIMENTALAdministered every 4 weeks (Q4W)
Body weight 5 kg to <15 kgEXPERIMENTALAdministered Q4W
PlaceboPLACEBO_COMPARATORSubcutaneous injection of Placebo (for Dupilumab) was administered once weekly (QW) from Week 1 (Day 1) to Week 36.
Dupilumab 300 mg Q8WEXPERIMENTALSubcutaneous 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 Q4WEXPERIMENTALSubcutaneous 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/QWEXPERIMENTALSubcutaneous 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 qwEXPERIMENTALTwo 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 q2wEXPERIMENTALTwo 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 qwEXPERIMENTALTwo 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.
DupilumabEXPERIMENTALParticipants will receive repeat doses of dupilumab
Cohort 1EXPERIMENTALCohort 1 will receive dupilumab dosing regimen 1
Cohort 2EXPERIMENTALCohort 2 will receive dupilumab dosing regimen 2
Dupilumab 200 mg q2wEXPERIMENTALTwo 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 q4wEXPERIMENTALTwo 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 mgEXPERIMENTALDupilumab 300 mg once weekly for 12 weeks by SC injection.
Period 1EXPERIMENTALPatients will receive selected Cytochrome P450 substrates (Midazolam, Omeprazole, Warfarin, Caffeine, Metoprololin) in period 1 (day 1)
Period 2EXPERIMENTALPatients 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 mgEXPERIMENTALDupilumab 150 mg as a single SC injection on Day 1, 8, 15, and 22
Interventions
NameTypeDescription
DupilumabDRUG -
Matching PlaceboDRUG -
PlaceboDRUGSubcutaneous injection of Placebo (for Dupilumab) was administered once weekly (QW).
Placebo (for Dupilumab)DRUGSubcutaneous injection in the different quadrants of the abdomen (avoiding navel and waist areas) and upper thighs
Topical Corticosteroid (TCS)OTHERAll 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.
MidazolamDRUGCytochrome P450 substrate
OmeprazoleDRUGCytochrome P450 substrate
WarfarinDRUGCytochrome P450 substrate
CaffeineDRUGCytochrome P450 substrate
MetoprololDRUGCytochrome P450 substrate
Background treatmentOTHERParticipants 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.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites73

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 ...

Countries:AustriaBelgiumGermanyIrelandNetherlandsPolandRussiaSlovakiaSpainUnited KingdomUnited StatesCanadaCzechiaHungaryAustraliaItalyJapanNew ZealandRomaniaSouth KoreaBulgariaChinaDenmarkEstoniaFinlandFranceLithuaniaSingapore
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Recent Changes (Last 90 Days)
LOWMay 29, 2026NCT02612454lastUpdatePostDate: changed
LOWMay 29, 2026NCT02612454lastUpdatePostDate: changed
LOWMay 29, 2026NCT02612454lastUpdatePostDate: changed
LOWMay 26, 2026NCT02612454primaryCompletionDate: changed
LOWMay 24, 2026NCT02612454studyFirstPostDate: changed