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Dupixent late-breaking positive pivotal data in bullous pemphigoid presented at AAD Five times more adults on Dupixent achieved sustained disease remission at 36 weeks compared to placebo; significant reduc

Key Takeaway: Positive pivotal data for Dupixent in treating moderate-to-severe bullous pemphigoid was presented at the 2025 AAD Annual Meeting. The ADEPT study demonstrated that Dupixent significantly outperformed placebo in achieving sustained disease remission over 36 weeks. The investigational biologic targets underlying type 2 inflammation, offering a new therapeutic approach for patients suffering from this debilitating skin disease. The treatment's FDA application for BP is currently under priority review, with a decision expected by June 20, 2025.

Market Sentiment Analysis

POSITIVE FACTORS

  • Dupixent showed significant efficacy in achieving sustained disease remission in adults with bullous pemphigoid.
  • The study met all primary and key secondary endpoints, indicating strong evidence of effectiveness.
  • Dupixent is the first investigational biologic targeting type 2 inflammation, marking a potential breakthrough in treatment.

CONCERNS & RISKS

  • Despite high overall rates of adverse events for both Dupixent and placebo, specific adverse events were noted, such as peripheral edema and arthralgia in Dupixent patients.

Full Press Release Details

Dupixent late-breaking positive pivotal data in bullous pemphigoid presented at AAD
Paris and Tarrytown, NY, March 8, 2025. Positive results from the pivotal ADEPT
phase 2/3 study evaluating the investigational use of Dupixent (dupilumab) in adults with moderate-to-severe bullous pemphigoid (BP) were shared in a late-breaking oral
presentation at the 2025 American Academy of Dermatology (AAD) Annual Meeting. BP is a chronic, debilitating, and relapsing skin disease with underlying type 2 inflammation and characterized by intense itch and blisters, reddening of the skin, and
Chief of the Division of Dermatology at the Philadelphia Veterans Administration Hospital, Professor of Dermatology
and Medicine at the Hospital of the University of Pennsylvania and the Veteran s Administration Medical Center, and principal investigator of the study
People with bullous pemphigoid live with unrelenting itch, blisters, and painful lesions that can be
debilitating and make it difficult to function daily. Moreover, current treatment options can be challenging for this primarily elderly patient population because they work by suppressing their immune system. By targeting the underlying type 2
inflammation, which is a key driver for bullous pemphigoid, Dupixent is the first investigational biologic to show sustained disease remission and reduce disease severity and itch compared to placebo in a clinical study.
The ADEPT study met all primary and
key secondary endpoints, enrolling 106 adults with moderate-to-severe BP who were randomized to receive Dupixent 300 mg (n=53) every two weeks after an initial loading
dose or placebo (n=53) added to standard-of-care oral corticosteroids (OCS). During treatment, all patients underwent a protocol-defined OCS tapering regimen if control
of disease activity was maintained. Sustained disease remission was defined as complete clinical remission with completion of OCS taper by week 16 without relapse and no rescue therapy use during the 36-week
As presented at AAD, results for Dupixent-treated patients at 36 weeks, compared to those treated with placebo, were as
In this elderly population, overall rates of adverse events (AEs) were 96% (n=51) for Dupixent and
96% (n=51) for placebo. AEs more commonly observed with Dupixent compared to placebo in at least 3 patients included peripheral edema (n=8 vs. n=5), arthralgia (n=5 vs. n=3), back pain (n=4 vs. n=2), blurred vision (n=4 vs. n=0), hypertension (n=4
vs. n=3), asthma (n=4 vs. n=1), conjunctivitis (n=4 vs. n=0), constipation (n=4 vs. n=1), upper respiratory tract infection (n=3 vs. n=1), limb injury (n=3 vs. n=2), and insomnia (n=3 vs. n=2). There were no AEs leading to death in the Dupixent
group and 2 AEs leading to death in the placebo group.
In February, the US Food and Drug Administration (FDA) accepted for priority review the supplemental biologics license application for Dupixent to treat BP. The FDA decision is expected by
June 20,2025. Dupixent was previously granted orphan drug designation by the FDA for BP, which applies to investigational medicines intended for the treatment of rare diseases that affect fewer than 200,000 people in the US. Additional
applications are also under review around the world, including in the EU.
The safety and efficacy of Dupixent in BP are currently under
clinical investigation and have not been evaluated by any regulatory authority.
BP is a chronic, debilitating, and relapsing skin disease with underlying type 2 inflammation that typically occurs in an elderly population. It is
characterized by intense itch and blisters, reddening of the skin, and painful lesions. The blisters and rash can form over much of the body and cause the skin to bleed and crust, resulting in patients being more prone to infection and affecting
their daily functioning. Approximately 27,000 adults in the US live with BP that is uncontrolled by systemic corticosteroids.
About the Dupixent BP pivotal
ADEPT is a randomized, phase 2/3, double-blind, placebo-controlled study evaluating the efficacy and safety of Dupixent in 106 adults
with moderate-to-severe BP for a 52-week treatment period. After randomization, patients received Dupixent or placebo every two
weeks, with OCS treatment. During treatment, OCS taper was initiated after patients experienced two weeks of sustained control of disease activity. OCS tapering could start between four to six weeks after randomization and was continued as long as
disease control was maintained, with the intent of completion by 16 weeks. After OCS tapering, patients were only treated with Dupixent or placebo for at least 20 weeks, unless rescue treatment was required.
The primary endpoint evaluated the proportion of patients achieving sustained disease remission at 36 weeks. Sustained disease remission was defined
as complete clinical remission with completion of OCS taper by 16 weeks without relapse and no rescue therapy use during the 36-week treatment period. Relapse was defined as appearance of 3 new lesions a month or 1 large lesion or urticarial plaque (>10 cm in diameter) that did not heal within a week. Rescue therapy could
include treatment with high-potency topical corticosteroids, OCS (including increase of OCS dose during the taper or re-initiation of OCS after completion of the OCS taper), systemic non-steroidal immunosuppressive medications, or immunomodulating biologics.
Select secondary endpoints
evaluated at 36 weeks included:
Dupixent (dupilumab) is a fully human
monoclonal antibody that inhibits the signaling of the interleukin-4 (IL4) and interleukin-13 (IL13) pathways and is not an immunosuppressant. The Dupixent development
program has shown significant clinical benefit and a decrease in type 2 inflammation in phase 3 studies, establishing that IL4 and IL13 are two of the key and central drivers of the type 2 inflammation that plays a major role in multiple related and
often co-morbid diseases.
Dupixent has received regulatory approvals in more than 60 countries in one or
more indications including certain patients with atopic dermatitis, asthma, chronic rhinosinusitis with nasal polyps, eosinophilic esophagitis, prurigo nodularis, chronic spontaneous urticaria, and chronic obstructive pulmonary disease in different
age populations. More than one million patients are being treated with Dupixent globally.
Dupilumab development program
Dupilumab is being jointly developed by Sanofi and Regeneron under a global collaboration agreement. To date, dupilumab has been studied across more
than 60 clinical studies involving more than 10,000 patients with various chronic diseases driven in part by type 2 inflammation.
the currently approved indications, Sanofi and Regeneron are studying dupilumab in a broad range of diseases driven by type 2 inflammation or other allergic processes in phase 3 studies, including chronic pruritus of unknown origin, bullous
pemphigoid, and lichen simplex chronicus. These potential uses of dupilumab are currently under clinical investigation, and the safety and efficacy in these conditions have not been fully evaluated by any regulatory authority.
Regeneron (NASDAQ: REGN) is a leading
biotechnology company that invents, develops and commercializes life-transforming medicines for people with serious diseases. Founded and led by physician-scientists, our unique ability to repeatedly and consistently translate science into medicine
has led to numerous approved treatments and product candidates in development, most of which were homegrown in our laboratories. Our medicines and pipeline are designed to help patients with eye diseases, allergic and inflammatory diseases,
cancer, cardiovascular and metabolic diseases, neurological diseases, hematologic conditions, infectious diseases, and rare diseases.
Regeneron pushes the boundaries of scientific discovery and accelerates drug development using our proprietary technologies, such
as VelociSuite , which produces optimized fully human antibodies and new classes of bispecific antibodies. We are shaping the next frontier of medicine with
data-powered insights from the Regeneron Genetics Center and pioneering genetic medicine platforms, enabling us to identify innovative targets and complementary approaches to
potentially treat or cure diseases.
For more information, please visit
www.Regeneron.com or follow Regeneron on
LinkedIn, Instagram, Facebook or
We are an innovative global healthcare company, driven by one purpose: we chase the miracles of
science to improve people s lives. Our team, across the world, is dedicated to transforming the practice of medicine by working to turn the impossible into the possible. We provide potentially life-changing treatment options and life-saving
vaccine protection to millions of people globally, while putting sustainability and social responsibility at the center of our ambitions.
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Frequently Asked Questions

What is Dupixent used for?

Dupixent is an investigational biologic used to treat moderate-to-severe bullous pemphigoid.

How was the ADEPT study conducted?

The ADEPT study was a randomized, double-blind trial with 106 adults evaluating Dupixent's efficacy.

What were the results of the ADEPT study?

The study met primary and secondary endpoints, showing Dupixent reduced disease severity.

What adverse events were reported with Dupixent?

Common adverse events included peripheral edema, arthralgia, and blurred vision.

Is Dupixent approved for bullous pemphigoid?

Dupixent's FDA decision is pending, expected by June 20, 2025, for bullous pemphigoid.

Last updated: Mar 8, 2025