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Dupilumab

Phase 3

Asthma | Small molecule | Respiratory |Sanofi|Last Updated: Jul 6, 2026

Success Probability
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials8
Total Enrollment6,084
FDA Designations
PRIORITY_REVIEWORPHAN_DRUG
Clinical trial landscape

Dupilumab · 21 trials · 12 indications

Phase 3 14Phase 2 4Phase 1 3
NCT06687967A Study to Investigate Improvement in Pruritus of Lichen Simplex Chronicus With Dupilumab Injections Compared With Placebo in Male and Female Participants Aged at Least 18 Years (STYLE 1)Lichen Simplex Chronicus
ACTIVE NOT_RECRUITING142 Analytics
NCT06687980A Study to Investigate Improvement in Pruritus of Lichen Simplex Chronicus With Dupilumab Injections Compared With Placebo in Male and Female Participants Aged at Least 18 Years (STYLE 2)Lichen Simplex Chronicus
ACTIVE NOT_RECRUITING138 Analytics
NCT06293053A Study to Investigate the Pharmacokinetics and Safety of Dupilumab in Participants ≥6 Months to <18 Years of Age With Prurigo NodularisPrurigo Nodularis
RECRUITING18 Analytics
NCT06191315Efficacy and Safety of Subcutaneous Dupilumab in Participants With Asthma/Asthmatic Wheeze Aged 2 to <6 Years (LIBERTY ASTHMA TREKIDS)Wheezing
RECRUITING90 Analytics
NCT05878093Dupilumab in Chinese Adult Participants With CRSwNPChronic Rhinosinusitis With Nasal Polyps
COMPLETED63 Analytics
NCT05526521A Study to Investigate the Pharmacokinetics and Safety of Dupilumab in Participants ≥2 Years to <12 Years of Age With Uncontrolled Chronic Spontaneous Urticaria (CSU) (LIBERTY-CSU CUPIDKids)Chronic Spontaneous Urticaria
COMPLETED15 Analytics
NCT05263206Efficacy and Safety of Subcutaneous Dupilumab for the Treatment of Adult Participants With Chronic Pruritus of Unknown Origin (CPUO) (LIBERTY-CPUO-CHIC)Pruritus
RECRUITING284 Analytics
NCT03884842Dupilumab on Airway Hyper-responsiveness and Ventilation Heterogeneity in Patients With Asthma.Asthma
COMPLETED24 Analytics
NCT03912259Evaluation of Dupilumab in Chinese Adult Patients With Moderate to Severe Atopic DermatitisAtopic Dermatitis
COMPLETED165 Analytics
NCT03560466Assessment of the Safety and Efficacy of Dupilumab in Children With Asthma (Liberty Asthma Excursion)Asthma
COMPLETED378 Analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Investigate Improvement in Pruritus of Lichen Simplex Chronicus With Dupilumab Injections Compared With Placebo in Male and Female Participants Aged at Least 18 Years (STYLE 1)
Lichen Simplex ChronicusUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Investigate Improvement in Pruritus of Lichen Simplex Chronicus With Dupilumab Injections Compared With Placebo in Male and Female Participants Aged at Least 18 Years (STYLE 2)
Lichen Simplex ChronicusUnlock trial analytics
PHASE3RECRUITING
A Study to Investigate the Pharmacokinetics and Safety of Dupilumab in Participants ≥6 Months to <18 Years of Age With Prurigo Nodularis
Prurigo NodularisUnlock trial analytics
PHASE3RECRUITING
Efficacy and Safety of Subcutaneous Dupilumab in Participants With Asthma/Asthmatic Wheeze Aged 2 to <6 Years (LIBERTY ASTHMA TREKIDS)
WheezingUnlock trial analytics
PHASE3COMPLETED
Dupilumab in Chinese Adult Participants With CRSwNP
Chronic Rhinosinusitis With Nasal PolypsUnlock trial analytics
PHASE3COMPLETED
A Study to Investigate the Pharmacokinetics and Safety of Dupilumab in Participants ≥2 Years to <12 Years of Age With Uncontrolled Chronic Spontaneous Urticaria (CSU) (LIBERTY-CSU CUPIDKids)
Chronic Spontaneous UrticariaUnlock trial analytics
PHASE3RECRUITING
Efficacy and Safety of Subcutaneous Dupilumab for the Treatment of Adult Participants With Chronic Pruritus of Unknown Origin (CPUO) (LIBERTY-CPUO-CHIC)
PruritusUnlock trial analytics
PHASE3COMPLETED
Dupilumab on Airway Hyper-responsiveness and Ventilation Heterogeneity in Patients With Asthma.
AsthmaUnlock trial analytics
PHASE3COMPLETED
Evaluation of Dupilumab in Chinese Adult Patients With Moderate to Severe Atopic Dermatitis
Atopic DermatitisUnlock trial analytics
PHASE3COMPLETED
Assessment of the Safety and Efficacy of Dupilumab in Children With Asthma (Liberty Asthma Excursion)
AsthmaUnlock trial analytics
Study Endpoints
Primary Endpoints
Proportion of participants with improvement (reduction) in weekly average of daily WI-NRS by ≥4 from baseline to Week 24
Week 24

Worst-Itch numerical rating score (WI-NRS) is a patient report outcome (PRO) comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").

Concentration of dupilumab in serum
Day 1 to Week 40

Concentration of dupilumab in serum over time

Part A: Annualized rate of severe asthma exacerbations during the 52-week treatment period
Baseline through Week 52

Annualized rate of severe asthma exacerbations during the 52-week treatment period.

Part B: Incidence of treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), adverse events of special interest (AESIs), and AEs leading to permanent treatment discontinuation
Week 52 through Week 116

Incidence of TEAEs, SAEs, AESIs, and AEs leading to permanent treatment discontinuation.

Change From Baseline in Nasal Polyps Score at Week 24
Baseline (Day 1) and Week 24

The NPS was the sum of the right and left nostril scores and assessed by central video recordings of bilateral nasal endoscopy. For each nostril, NPS was graded based on polyp size which ranged from 0: no polyps, 1: small polyps in the middle meatus not reaching below the inferior border of the middle turbinate, 2: polyps reaching below the lower border of the middle turbinate, 3: large polyps reaching the lower border of the inferior turbinate or polyps medial to the middle turbinate, 4: large polyps causing complete obstruction of the inferior nasal cavity. Total NPS was the sum of right and left nostril scores; ranged from 0 (no polyps) to 8 (large polyps). Higher scores indicated more severe disease. Baseline was defined as the last available value before randomization.

Serum Concentration of Dupilumab at Weeks 12 and 24
Weeks 12 and 24

Blood samples were collected at specified timepoints to obtain dupilumab concentration.

Study A: Proportion of participants with improvement (reduction) in weekly average of daily worst-itch numerical rating scale (WI-NRS) by ≥4 from baseline to Week 24
Baseline to Week 24

WI-NRS is a patient reported outcome (PRO) comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").

Study B: Proportion of participants with improvement (reduction) in weekly average of daily WI-NRS by ≥4 from baseline to Week 12
Baseline to Week 12

WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").

Proportion of patients that achieve at least one doubling dose improvement in PC20 methacholine and/or a 50% reduction in FEV1 reversibility after bronchodilator.
Between screening (week -4) and week 16.

For patients that can undergo a methacholine challenge, one doubling dose improvement in PC20 methacholine. For those that cannot undergo a methacholine challenge a 50% reduction in FEV1 reversibility.

Number of Participants With Investigator's Global Assessment (IGA) Score of "0" or "1" and Reduction From Baseline of Greater Than or Equal to (>=) 2 Points at Week 16
Baseline, Week 16

The IGA is an assessment instrument used to rate the severity of AD globally based on a 5-point scale ranging from (0 = clear; 1 = almost clear; 2 = mild; 3 = moderate; 4 = severe), higher score indicated higher severity.

Main Study: Number of Participants With Any Treatment-Emergent Adverse Events (TEAEs)
From first dose of study treatment (Day 1) up to 112 days post last dose of study treatment, approximately 64 weeks

An adverse event (AE) was any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which did not necessarily have to have a causal relationship with this treatment. TEAEs were AEs that developed or worsened or became serious during the TEAE period.

Japan Sub-study: Change From Baseline to Week 12 in Pre-Bronchodilator Percent Predicted Forced Expiratory Volume in 1 Second (FEV1)
Baseline (Day 1) to Week 12

FEV1 was the volume of air (in liters) exhaled from the lungs in the first second of a forced expiration as measured by spirometer. Spirometry was performed after a wash out period of bronchodilators according to their action duration. Baseline was defined as the last available measurement prior to the first study treatment dose if the participant was treated, or the last available value up to enrollment if the participant was not exposed to study treatment in the current study.

Annualized Rate of Severe Exacerbation Events During the 52-Week Treatment Period: Baseline Blood Eosinophils >=300 Cells Per Microliter Population
Baseline to Week 52

A severe asthma exacerbation event was defined as a deterioration of asthma during the 52-week treatment period requiring: use of systemic corticosteroids for \>=3 days; and/or hospitalization or emergency room visit because of asthma requiring systemic corticosteroid treatment. Annualized event rate was defined as the total number of severe exacerbation events that occurred during the 52-week treatment period divided by the total number of participant-years followed in the 52-week treatment period.

Annualized Rate of Severe Exacerbation Events During the 52-Week Treatment Period: Type 2 Inflammatory Asthma Phenotype Population
Baseline to Week 52

A severe asthma exacerbation event was defined as a deterioration of asthma during the 52-week treatment period requiring: use of systemic corticosteroids for \>=3 days; and/or hospitalization or emergency room visit because of asthma requiring systemic corticosteroid treatment. Annualized event rate was defined as the total number of severe exacerbation events that occurred during the 52-week treatment period divided by the total number of participant-years followed in the 52-week treatment period.

Percentage Reduction From Baseline in Oral Corticosteroids (OCS) Dose at Week 24 While Maintaining Asthma Control
Baseline, Week 24

Percentage reduction of OCS dose was calculated as (optimized OCS dose \[mg/day\] at baseline - final OCS dose at Week 24)/optimized OCS dose at baseline x 100. Result is presented as Least Squares Mean (Standard Error) percentage reduction from baseline derived from ANCOVA model with missing data multiply imputed.

Supplementary Presentation of Primary Outcome Measure Data: Median Percentage Reduction From Baseline in Oral Corticosteroids Dose at Week 24 While Maintaining Asthma Control
Baseline, Week 24

The Primary Outcome Measure (Percentage Reduction From Baseline in Oral Corticosteroids Dose at Week 24 While Maintaining Asthma Control) is summarized above, as LS Mean (SE). Table below provides a supplementary presentation of the Primary Outcome Measure data; result is presented as median (inter-quartile range). Percentage reduction of OCS dose was calculated as (optimized OCS dose \[mg/day\] at baseline - final OCS dose at Week 24)/optimized OCS dose at baseline x 100.

Annualized Rate of Severe Exacerbation Events During The 52-Week Treatment Period: Intent-to-Treat (ITT) Population
Baseline to Week 52

A severe exacerbation was defined as a deterioration of asthma requiring: use of systemic corticosteroids for \>=3 days; or hospitalization or emergency room visit because of asthma, requiring systemic corticosteroids. Annualized event rate was the total number of exacerbations that occurred during the treatment period divided by the total number of participant-years treated.

Absolute Change From Baseline in Pre-Bronchodilator Forced Expiratory Volume in 1 Second (FEV1) at Week 12: ITT Population
Baseline, Week 12

FEV1 was the volume of air exhaled in the first second of a forced expiration as measured by spirometer.

Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
From the first IMP injection in LTS12551 to the last IMP injection plus 14 weeks (up to 108 weeks)

An Adverse Event (AE) was any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which did not necessarily had to have causal relationship with treatment. TEAEs were defined as AEs that developed, worsened, or became serious during the treatment emergent AE period (time from first dose of investigational medicinal product \[IMP\] in LTS12551 up to the last dose of dupilumab plus 14 weeks). A Serious AE (SAE) was any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event.

Proportion of participants achieving clinical response at Week 24
Week 24

Clinical response by modified Mayo score is defined as a decrease from baseline in the modified Mayo score of ≥2 points and at least a 30% reduction from baseline, and a decrease in rectal bleeding subscore of ≥1 OR an absolute rectal bleeding subscore of 0 or 1. The modified Mayo score consists of 3 subscores; a patient-reported subscore for rectal bleeding, a patient-reported subscore for stool frequency, and a Mayo endoscopic subscore. Each subscore ranges 0-3 with higher scores indicating greater disease severity. The total modified Mayo score ranges 0-9 with higher scores indicating greater disease severity.

Change From Baseline in Bilateral Endoscopic Nasal Polyp Score (NPS) at Week 16
Baseline, Week 16

NPS was the sum of the right and left nostril scores, as evaluated by means of nasal endoscopy. Total score ranges from 0 to 8 (scored 0 \[no polyp\] to 4 \[large polyps\] for each nostril), with a lower score indicating smaller-sized polyps.

Absolute Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) at Week 12: High Eosinophils -Intent to Treat (HEos-ITT) Population
Baseline, Week 12

FEV1 was the volume of air exhaled in the first second of a forced expiration as measured by spirometer.

Absolute Change From Baseline in FEV1 at Week 12: ITT Population
Baseline, Week 12

FEV1 was the volume of air exhaled in the first second of a forced expiration as measured by spirometer.

Percentage of Participants With Asthma Exacerbation
Baseline up to Week 12

An asthma exacerbation was defined as the occurrence of any of the following: ≥30% reduction from baseline in morning PEF on 2 consecutive days; or ≥6 additional reliever puffs of albuterol or levalbuterol in a 24-hour period (compared to baseline) on 2 consecutive days; or deterioration of asthma, as determined by the investigator, requiring systemic steroid treatment, or an increase in inhaled corticosteroid (ICS) of ≥4 times the last dose received prior to discontinuation from the study, or hospitalization. The occurrence of asthma exacerbations by individual criteria are reported.

Maximum serum concentration of functional dupilumab (Cmax)
Pre-dose on Day 1 up to Day 43
Area under the serum concentration versus time curve from time zero to the real time of last measurable concentration (AUClast)
Pre-dose on Day 1 up to Day 43
Time to reach Cmax (Tmax)
Pre-dose on Day 1 up to Day 57
Maximum serum concentration observed: Cmax
Up to Day 57
Secondary Endpoints
Absolute change in weekly average of daily WI-NRS from baseline to Week 24
Baseline to Week 24
Percentage change in weekly average of daily WI-NRS from baseline to Week 24
Baseline to Week 24
Absolute change in weekly average of daily Itch-related Sleep Disturbance NRS from baseline to Week 24
Baseline to Week 24
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
DupilumabEXPERIMENTALDupilumab subcutaneous injection as per protocol
PlaceboPLACEBO_COMPARATORPlacebo subcutaneous injection as per protocol
Dupilumab (double-blind period)EXPERIMENTALDupilumab subcutaneous injection as per protocol
matched placeboPLACEBO_COMPARATORSterile placebo for dupilumab will be provided in identically matched glass prefilled syringes to deliver 2 mL.
Placebo Q2WPLACEBO_COMPARATORPlacebo matched to dupilumab 600 milligrams (mg) (loading dose), subcutaneously (SC) on Day 1 followed by placebo matched to dupilumab 300 mg once every 2 weeks (Q2W) for 16 weeks.
Dupilumab 300 mg Q2WEXPERIMENTALDupilumab at a loading dose of 600 mg, SC on Day 1 followed by 300 mg, Q2W for 16 weeks.
Placebo (for Dupilumab 200 mg) q2wPLACEBO_COMPARATOR2 subcutaneous injections of matched Placebo (for Dupilumab 200 mg) as a loading dose on Day 1 (Week 0), followed by a single injection every 2 weeks (q2w) from Week 2 to Week 50 in combination with stable ICS and up to 2 other controller medicines. Albuterol/salbutamol or levalbuterol/levosalbutamol was given as reliever medication.
Dupilumab 200 mg q2wEXPERIMENTAL2 subcutaneous injections of Dupilumab 200 mg (for a total of 400 mg) as a loading dose on Day 1 (Week 0), followed by a single 200 mg injection q2w from Week 2 to Week 50 in combination with stable ICS and up to 2 other controller medicines. Albuterol/salbutamol or levalbuterol/levosalbutamol was given as reliever medication.
Placebo (for Dupilumab 300 mg) q2wPLACEBO_COMPARATOR2 subcutaneous injections of matched Placebo (for Dupilumab 300 mg) as a loading dose on Day 1 (Week 0), followed by a single injection q2w from Week 2 to Week 50 in combination with stable ICS and up to 2 other controller medicines. Albuterol/salbutamol or levalbuterol/levosalbutamol was given as reliever medication.
dupilumab treatmentEXPERIMENTALFor participants coming from the DRI12544 study: dupilumab loading dose subcutaneous (SC) on Day 1, followed by 1\* Dose every 2 weeks added to current controller medications. For participants coming from other studies: dupilumab 1 \* Dose SC every 2 weeks added to current controller medications.
Open-label arm (optional)OTHERRegular administration of open label dupilumab
Dupilumab 300 mg QWEXPERIMENTALDupilumab, 2 Subcutaneous injections on Day 1 as a loading dose for a total of 600 mg, followed by a single 300 mg injection QW from Week 1 to 15 added to MFNS.
Dupilumab 300 mg q4wEXPERIMENTAL2 subcutaneous injections of Dupilumab 300 mg (for a total of 600 mg) as a loading dose on Day 1 (Week 1) followed by a Placebo alternating with single 300 mg injection of Dupilumab q2w from Week 2 to Week 22 added to stable ICS/LABA therapy. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
Dupilumab 200 mg q4wEXPERIMENTAL2 subcutaneous injections of Dupilumab 200 mg (for a total of 400 mg) as a loading dose on Day 1 (Week 1) followed by a Placebo alternating with single 200 mg injection of Dupilumab q2w from Week 2 to Week 22 added to stable ICS/LABA therapy. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
Placebo (for Dupilumab)PLACEBO_COMPARATORPlacebo (for Dupilumab) subcutaneous (SC) injection once weekly (qw) for 12 weeks added to background therapy of inhaled corticosteroids/long-acting beta2-adrenergic agonist (ICS/LABA) (Fluticasone/Salmeterol combination therapy at stable dose for 4 weeks followed by Fluticasone monotherapy, dose progressively decreased and discontinued at Week 9). Albuterol or Levalbuterol was given as rescue medication.
New dupilumab productEXPERIMENTALA single subcutaneous injection on Day 1
Current dupilumab productACTIVE_COMPARATORA single subcutaneous injection on Day 1
Dupilumab drug product 1ACTIVE_COMPARATORA single subcutaneous injection on Day 1
Dupilumab drug product 2EXPERIMENTALA single subcutaneous injection on Day 1
Interventions
NameTypeDescription
DupilumabDRUGPharmaceutical form: Solution for injection Route of administration: subcutaneous injection
PlaceboDRUGPharmaceutical form: Solution for injection Route of administration: subcutaneous injection
BudesonideDRUGnasal spray (suspension)
Fexofenadine (loratadine if not available)DRUGTablet or capsule Oral
Dupilumab/DupixentBIOLOGICALa monoclonal antibody designed for the treatment asthma and atopic dermatitis.
Emollient (moisturizer)DRUGPharmaceutical form: cream, Route of administration: topical use
Dupilumab (SAR231893/REGN668)DRUGPharmaceutical form: solution for injection Route of administration: subcutaneous (sc)
Asthma controller therapies (incl. prednisone/prednisolone)DRUGPharmaceutical form: powder, or solution, or pill Route of administration: inhaled, oral or parenteral
Asthma reliever therapiesDRUGPharmaceutical form: powder or solution Route of administration: inhaled
Asthma Controller TherapiesDRUGPharmaceutical form: Aerosol, capsules, tablets, oral solution Route of administration: Inhaled, oral
Oral corticosteroid therapy (prednisone/prednisolone)DRUGOral administration.
Inhaled corticosteroid (ICS) therapyDRUGOral inhalation, stable dose (high dose) of ICS in combination with up to 2 other controller medicines (second or third controller therapy).
Albuterol/SalbutamolDRUGOral inhalation as needed.
Levalbuterol/LevosalbutamolDRUGOral inhalation as needed.
Placebo (for dupilumab)DRUGSolution for injection; Subcutaneous injection.
Mometasone furoate nasal sprayDRUGNasal spray, 2 actuations in each nostril twice daily.
ICS/LABA therapyDRUGOral inhalation, Prior therapy with Mometasone furoate /formoterol, budesonide / formoterol, or fluticasone propionate / salmeterol continued at stable dose
Salbutamol/albuterolDRUGOral inhalation as needed
Levosalbutamol/levalbuterolDRUGOral inhalation as needed
Fluticasone/Salmeterol combination therapyDRUGOral inhalation twice daily.
Fluticasone monotherapyDRUGOral inhalation twice daily.
AlbuterolDRUGOral inhalation as needed.
LevalbuterolDRUGOral inhalation as needed.
Dupilumab (SAR231893)DRUGInjection solution Subcutaneous
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Eligibility Criteria
Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites63

Inclusion Criteria: Participants are eligible to be included in the study only if all of the following criteria apply (at screening and baseline unless otherwise specified): * Participant must be at least 18 years of age or the legal age of consent in the jurisdiction in which the study is taking ...

Countries:United StatesArgentinaCanadaChileChinaCzechiaGermanyGreeceHungaryItalyJapanMexicoPortugalSpainTaiwanTurkey (Türkiye)United KingdomBelgiumSouth KoreaBrazilFranceNetherlandsPolandAustraliaColombiaLithuaniaRussiaSouth AfricaUkraineRomaniaIsraelDenmarkPuerto RicoSwedenNew Zealand
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Recent Changes (Last 90 Days)
LOWJul 6, 2026NCT05263206lastUpdatePostDate: changed
LOWJul 6, 2026NCT05263206lastUpdatePostDate: changed
LOWJul 2, 2026NCT06687980lastUpdatePostDate: changed
LOWJul 2, 2026NCT06687967lastUpdatePostDate: changed
LOWJul 2, 2026NCT06687980lastUpdatePostDate: changed
LOWJul 2, 2026NCT06687967lastUpdatePostDate: changed
LOWJul 2, 2026NCT06687980lastUpdatePostDate: changed
LOWJul 2, 2026NCT06687967lastUpdatePostDate: changed
LOWJun 23, 2026NCT05731128primaryCompletionDate: changed
LOWJun 23, 2026NCT05731128primaryCompletionDate: changed
LOWJun 8, 2026NCT05263206lastUpdatePostDate: changed
LOWJun 8, 2026NCT05263206lastUpdatePostDate: changed
LOWJun 8, 2026NCT05263206lastUpdatePostDate: changed
LOWMay 26, 2026NCT06191315primaryCompletionDate: changed
LOWMay 26, 2026NCT05263206primaryCompletionDate: changed
LOWMay 26, 2026NCT06293053primaryCompletionDate: changed
LOWMay 26, 2026NCT06687967primaryCompletionDate: changed
LOWMay 26, 2026NCT06687980primaryCompletionDate: changed
LOWMay 26, 2026NCT05731128primaryCompletionDate: changed
LOWMay 24, 2026NCT06191315studyFirstPostDate: changed