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Phase 3 N=708 Randomized Triple-blind Treatment

Study of Dupilumab (REGN668/SAR231893) Monotherapy Administered to Adult Patients With Moderate-to-Severe Atopic Dermatitis

Dermatitis, Atopic

Enrolled (actual)
708
Serious AEs
4.4%
Results posted
Oct 2017
Primary outcome: Primary: Percentage of Participants With Investigator's Global Assessment (IGA) Score of "0" or "1" and Reduction From Baseline of ≥2 Points at Week 16 — 8.5; 36.1; 36.4 percentage of participants — p=< 0.0001

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Dupilumab (Drug); Placebo (for Dupilumab) (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Regeneron Pharmaceuticals
Primary completion
Oct 2015

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants With Investigator's Global Assessment (IGA) Score of "0" or "1" and Reduction From Baseline of ≥2 Points at Week 16
8.5; 36.1; 36.4 < 0.0001 sig
SECONDARY
Percentage of Participants With Eczema Area and Severity Index-75 (EASI-75) (≥75% Improvement From Baseline) at Week 16
11.9; 44.2; 48.1 < 0.0001 sig
SECONDARY
Percentage of Participants With Improvement (Reduction ≥4 Points) of Weekly Average of Peak Daily Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 16
9.5; 36.0; 39.0 < 0.0001 sig
SECONDARY
Percentage of Participants With Improvement (Reduction ≥3 Points) in Weekly Average of Peak Daily Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 16
12.8; 50.6; 49.1 < 0.0001 sig
SECONDARY
Percent Change From Baseline in Weekly Average of Peak Pruritus Numerical Rating Scale (NRS) Score to Week 16
-18.1; -47.2; -50.9 < 0.0001 sig
SECONDARY
Percentage of Participants With Improvement (Reduction ≥4 Points) of Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 4
6.3; 22.7; 27.6 < 0.0001 sig
SECONDARY
Percentage of Participants With Improvement (Reduction ≥4 Points) of Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 2
0.9; 10.7; 12.7 < 0.0001 sig
SECONDARY
Change From Baseline in Peak Daily Pruritus Numerical Rating Scale (NRS) Score to Week 16
-1.41; -3.56; -3.87 < 0.0001 sig
SECONDARY
Percent Change From Baseline in Eczema Area and Severity Index (EASI) Score to Week 16
-33.7; -69.6; -71.6 < 0.0001 sig
SECONDARY
Percentage of Participants With Eczema Area and Severity Index-50 (EASI-50) (≥50% Improvement From Baseline) at Week 16
22.0; 65.2; 61.1 < 0.0001 sig
SECONDARY
Percentage of Participants With Eczema Area and Severity Index-90 (EASI-90) (≥90% Improvement From Baseline) at Week 16
7.2; 30; 30.5 < 0.0001 sig
SECONDARY
Change From Baseline in Percent Body Surface Area (BSA) to Week 16
-14.48; -31.69; -32.97 < 0.0001 sig
SECONDARY
Percent Change From Baseline in the SCORing Atopic Dermatitis (SCORAD) Score to Week 16
-22.7; -53.5; -56.0 < 0.0001 sig
SECONDARY
Change From Baseline in Dermatology Life Quality Index (DLQI) to Week 16
-4.0; -9.7; -10.3 < 0.0001 sig
SECONDARY
Change From Baseline in Patient Oriented Eczema Measure (POEM) to Week 16
-3.8; -10.7; -11.7 < 0.0001 sig
SECONDARY
Change From Baseline in Hospital Anxiety Depression Scale (HADS) to Week 16
-1.0; -5.2; -6.2 < 0.0001 sig
SECONDARY
Percent Change From Baseline in Global Individual Signs Score (GISS) to Week 16
-20.3; -47.5; -48.4 < 0.0001 sig
SECONDARY
Percent Change From Baseline in Weekly Average of Peak Daily Pruritus NRS Score to Week 2
-6.3; -24.1; -21.2 < 0.0001 sig
SECONDARY
Percentage of Participants With Skin Infection Treatment Emergent Adverse Events (TEAEs) Requiring Systemic Treatment
0; 0; 0
SECONDARY
Percentage of Participants With Treatment Emergent Serious Adverse Events (TESAEs) From Baseline Through Week 16
5.6; 1.7; 3.4
SECONDARY
Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) Leading to Treatment Discontinuation From Baseline Through Week 16
2.1; 0.8; 1.3

Summary

This is a randomized, double-blind, placebo-controlled, parallel-group study to confirm the efficacy and safety of Dupilumab monotherapy in adults with moderate-to-severe atopic dermatitis (AD).

Eligibility Criteria

Inclusion Criteria

  • Chronic AD that has been present for at least 3 years before the screening visit;
  • ≥10% body surface area (BSA) of AD involvement at the screening and baseline visits;
  • Documented recent history (within 6 months before the screening visit) of inadequate response to treatment with topical medications or for whom topical treatments are otherwise medically inadvisable (eg, because of important side effects or safety risks).

Exclusion Criteria

  • Participation in a prior Dupilumab clinical study.
  • Treatment with an investigational drug within 8 weeks or within 5 half-lives (if known), whichever is longer, before the baseline visit;
  • Having used any of the following treatments within 4 weeks before the baseline visit, or any condition that, in the opinion of the investigator, is likely to require such treatment(s) during the first 4 weeks of study treatment:
  • Immunosuppressive/ immunomodulating drugs (eg, systemic corticosteroids, cyclosporine, mycophenolate-mofetil, IFN-γ, Janus kinase inhibitors, azathioprine, methotrexate, etc.)
  • Phototherapy for AD
  • Regular use (more than 2 visits per week) of a tanning booth/ parlor within 4 weeks of the screening visit;
  • Treatment with a live (attenuated) vaccine within 12 weeks before the baseline visit;
  • History of human immunodeficiency virus (HIV) infection or positive HIV serology at screening;
  • Positive with hepatitis B surface antigen (HBsAg) or hepatitis C antibody at the screening visit;
  • Active chronic or acute infection requiring systemic treatment within 2 weeks before the baseline visit;
  • Known or suspected history of immunosuppression;
  • Pregnant or breastfeeding women, or women planning to become pregnant or breastfeed during the study;
  • Women unwilling to use adequate birth control, if of reproductive potential and sexually active.

Note: The information listed above is not intended to contain all considerations relevant to a participant's potential participation in this clinical trial therefore not all inclusion/ exclusion criteria are listed.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02277769). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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