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Dupilumab SAR231893/REGN668

Phase 3

Asthma | Small molecule | Respiratory |Sanofi|Last Updated: Mar 16, 2023

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-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment921
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03782532Efficacy and Safety Study of Dupilumab in Patients With Persistent AsthmaPHASE3 COMPLETED 486Jan 25, 2019May 21, 2022Dec 28, 202267 China, India
NCT03620747Continuation of TRAVERSE- LTS12551 Evaluating Dupilumab Safety in Patients With Asthma (Long-Term Follow-Up)PHASE3 COMPLETED 393Aug 30, 2018Feb 18, 2022Mar 16, 2023132 United States, Argentina +8
NCT02573233Evaluation of Dupilumab's Effects on Airway Inflammation in Patients With AsthmaPHASE2 COMPLETED 42Jan 27, 2016Jan 3, 2018Apr 4, 202216 United States, Canada +4
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Study Endpoints
Primary Endpoints
Change in pre-bronchodilator forced expiratory volume (FEV1)
Baseline to Week 12

Absolute change from baseline in pre-bronchodilator FEV1 at Week 12

Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)
From first dose of IMP up to 12 weeks after last dose of IMP (maximum duration: up to 144 Weeks)

An adverse event (AE) was defined as any untoward medical occurrence in a participant who received study drug and did not necessarily had to have a causal relationship with the treatment. TEAEs were the AEs that developed or worsened or became serious during the TEAE period (defined as the time from the first dose of the investigational medicinal product \[IMP\] up to 12 weeks after the last dose of the IMP).

Treatment-emergent Adverse Event Rate (Event Per 100 Participant-years)
From first dose of IMP up to 12 weeks after last dose of IMP (maximum duration: up to 144 Weeks)

An AE was defined as any untoward medical occurrence in a participant who received study drug and did not necessarily had to have a causal relationship with the treatment. TEAEs were the AEs that developed or worsened or became serious during the TEAE period (defined as the time from the first dose of the IMP up to 12 weeks after last dose of the IMP). TEAE event rate was defined as the number of TEAE events per 100 participant-years.

Change From Baseline in Eosinophils Cells Count in the Bronchial Submucosa at Week 12
Baseline, Week 12

Inflammatory cells i.e. eosinophils were counted in the bronchial submucosa of biopsy thin sections using quantitative immunohistochemistry and reported as the number of cells per square millimeter.

Change From Baseline in Mucin-Stained Area in the Bronchial Submucosa at Week 12
Baseline, Week 12

Mucin was identified by staining with Alcian-blue periodic acid-Schiff and/or immunostaining for MUC5AC and then the mucin-positive area was measured and expressed per square millimeter.

Change From Baseline in Mast Cells Count (Chymase Positive) in the Bronchial Submucosa at Week 12
Baseline, Week 12

Inflammatory cells i.e. mast cells were counted in the bronchial submucosa of biopsy thin sections using quantitative immunohistochemistry and reported as the number of cells per square millimeter.

Change From Baseline in Mast Cells Count (Tryptase Positive) in the Bronchial Submucosa at Week 12
Baseline, Week 12

Inflammatory cells i.e. mast cells were counted in the bronchial submucosa of biopsy thin sections using quantitative immunohistochemistry and reported as the number of cells per square millimeter.

Change From Baseline in T-Lymphocytes Count in the Bronchial Submucosa at Week 12
Baseline, Week 12

T-Lymphocytes i.e. CD3 positive cells were counted in the bronchial submucosa of biopsy thin sections using quantitative immunohistochemistry and reported as the number of cells per square millimeter.

Change From Baseline in T-Helper Lymphocytes Count in the Bronchial Submucosa at Week 12
Baseline, Week 12

T-helper i.e. CD4 positive lymphocytes were counted in the bronchial submucosa of biopsy thin sections using quantitative immunohistochemistry and reported as the number of cells per square millimeter.

Secondary Endpoints
Annualized rate of severe exacerbation events
During the 24-week placebo-controlled treatment period
Percent change from baseline in pre-bronchodilator FEV1
Baseline to Week 12
Annualized rate of loss of asthma control (LOAC) event
During the 24-week placebo-controlled treatment period
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
DupilumabEXPERIMENTALFor patients without oral corticosteroids (OCS) maintenance therapy, dose 1 of dupilumab administered once in 2 weeks (q2w) with loading dose of dupilumab, two times dose 1; for patients on OCS maintenance therapy, the dose will be dupilumab dose 2 q2w with loading dose 2 times dose 2
Placebo for dupilumabPLACEBO_COMPARATORFor patients without OCS maintenance therapy, the patients will take placebo matching to dupilumab dose 1 q2w with loading dose; for patients on OCS maintenance therapy, the patients will take placebo matching to dupilumab dose 2 q2w with loading dose
PlaceboPLACEBO_COMPARATORPlacebo (for dupilumab), 2 subcutaneous injections on Day 1 (Week 1) as a loading dose followed by a single injection q2w from Week 2 to Week 14, added to stable inhaled corticosteroid/ long-acting beta-agonist (ICS/LABA) therapy. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
Interventions
NameTypeDescription
Dupilumab SAR231893DRUGPharmaceutical form: Solution Route of administration: Subcutaneous
PlaceboDRUGPharmaceutical form: Solution Route of administration: Subcutaneous
Asthma Controller Therapies (include prednisone/prednisolone)DRUGPharmaceutical form: Aerosol, capsules, tablets, oral solution Route of administration: Inhalation, oral
Asthma Reliever TherapiesDRUGPharmaceutical form: Nebulized, aerosol Route of administration: Inhaled
Dupilumab SAR231893 (REGN668)DRUGPharmaceutical form: prefilled syringes Route of administration: subcutaneous
Dupilumab SAR231893/REGN668DRUGPharmaceutical form:solution Route of administration: subcutaneous
fluticasone propionate and salmeterolDRUGPharmaceutical form:inhalation aerosol, inhalation powder Route of administration: inhaled
budesonide and formoterolDRUGPharmaceutical form:inhalation aerosol Route of administration: inhaled
mometasone furoate and formoterolDRUGPharmaceutical form:inhalation aerosol Route of administration: inhaled
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Eligibility Criteria
Age Range12 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites67

Inclusion criteria : * Adults and adolescent patients (≥12 years of age) with a physician diagnosis of asthma for ≥12 months, based on the Global Initiative for Asthma 2017 Guidelines and the following criteria: * Patients requiring a third controller for their asthma will be considered eligible fo...

Countries:ChinaIndiaUnited StatesArgentinaBelgiumCanadaFranceGermanyIsraelJapanNetherlandsSouth AfricaDenmarkSwedenUnited Kingdom
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