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Phase 3 Completed N=251 Randomized Quadruple-blind Treatment

Efficacy and Safety of Dupilumab in Participants ≥12 to <18 Years of Age, With Moderate-to-severe Atopic Dermatitis

Moderate-to-Severe Atopic Dermatitis · Dermatitis, Dermatitis Atopic · Eczema, Skin Diseases, Skin · Diseases Genetic, Genetic
Source: ClinicalTrials.gov NCT03054428 ↗
Enrolled (actual)
251
Serious AEs
0.4%
Results posted
Jul 2019
Primary outcomePrimary: Percentage of Participants With Investigator's Global Assessment (IGA) 0 or 1 (and Reduction From Baseline of ≥2 Points) at Week 16 — 2.4; 17.9; 24.4 Percentage of participants — p=< 0.0001
◆ Published Evidence
Highly cited
117citations · ~29 / year
Long-Term Efficacy and Safety of Dupilumab in Adolescents with Moderate-to-Severe Atopic Dermatitis: Results Through Week 52 from a Phase III Open-Label Extension Trial (LIBERTY AD PED-OLE).
American journal of clinical dermatology · 2022 · Open access · Likely link

Summary

The primary objective of the study was to demonstrate the efficacy of dupilumab as a monotherapy in participants ≥12 years to <18 years of age with moderate-to-severe atopic dermatitis (AD). The secondary objective of the study was to assess the safety of dupilumab as a monotherapy in participants ≥12 years to <18 years of age with moderate-to-severe AD.

Linked Publications (5)

  • Long-Term Efficacy and Safety of Dupilumab in Adolescents with Moderate-to-Severe Atopic Dermatitis: Results Through Week 52 from a Phase III Open-Label Extension Trial (LIBERTY AD PED-OLE).
    American journal of clinical dermatology · 2022 · 117 citations · Open access · Likely link
  • Dupilumab Demonstrates Rapid and Consistent Improvement in Extent and Signs of Atopic Dermatitis Across All Anatomical Regions in Pediatric Patients 6 Years of Age and Older.
    Dermatology and therapy · 2021 · 19 citations · Open access · Likely link
  • Efficacy and Safety of Dupilumab in Patients With Erythrodermic Atopic Dermatitis: A Post Hoc Analysis of 6 Randomized Clinical Trials.
    JAMA dermatology · 2023 · 16 citations · Open access · Likely link
  • Immunogenicity of dupilumab in adult and pediatric patients with atopic dermatitis.
    Frontiers in immunology · 2024 · 7 citations · Open access · Likely link
  • The Safety Data of Dupilumab for the Treatment of Moderate‑to‑Severe Atopic Dermatitis in Infants, Children, Adolescents, and Adults.
    American journal of clinical dermatology · 2025 · 6 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants With Investigator's Global Assessment (IGA) 0 or 1 (and Reduction From Baseline of ≥2 Points) at Week 16
2.4; 17.9; 24.4 < 0.0001 sig
PRIMARY
Percentage of Participants With Eczema Area and Severity Index (EASI)-75 (≥75% Improvement From Baseline) at Week 16
8.2; 38.1; 41.5 < 0.0001 sig
SECONDARY
Percent Change From Baseline in EASI Score at Week 16
-23.6; -64.8; -65.9 < 0.0001 sig
SECONDARY
Percent Change From Baseline in Weekly Average of Daily Peak Pruritus Numerical Rating Scale (NRS) Score at Week 16
-19.0; -45.5; -47.9 < 0.0001 sig
SECONDARY
Percentage of Participants With Improvement (Reduction ≥3 Points) of Weekly Average of Daily Peak Pruritus NRS From Baseline to Week 16
9.4; 38.6; 48.8 < 0.0001 sig
SECONDARY
Percentage of Participants With Improvement (Reduction ≥4 Points) of Weekly Average of Daily Peak Pruritus NRS From Baseline to Week 16
4.8; 26.5; 36.6 < 0.0001 sig
SECONDARY
Percentage of Participants With EASI-50 (≥50% Improvement From Baseline) at Week 16
12.9; 54.8; 61.0
SECONDARY
Percentage of Participants With EASI-90 (≥90% Improvement From Baseline) at Week 16
2.4; 19.0; 23.2
SECONDARY
Time to Onset of Effect on Pruritus as Measured by Percentage of Participants With Improvement (Reduction ≥3 Points) of Weekly Average of Daily Peak Pruritus NRS From Baseline
11.4; 8.4; 7.7
SECONDARY
Time to Onset of Effect on Pruritus as Measured by Percentage of Participants With Improvement (Reduction ≥4 Points) of Weekly Average of Daily Peak Pruritus NRS From Baseline
12.8; 9.9; 10.6
SECONDARY
Change From Baseline in Percent Body Surface Area (BSA) at Week 16
-11.66; -33.41; -30.11
SECONDARY
Percent Change From Baseline in Scoring Atopic Dermatitis (SCORAD) Score at Week 16
-17.6; -47.5; -51.6
SECONDARY
Change From Baseline in Children's Dermatology Life Quality Index (CDLQI) Total Score at Week 16
-5.1; -8.8; -8.5
SECONDARY
Change From Baseline in Patient Oriented Eczema Measure (POEM) at Week 16
-3.8; -9.5; -10.1
SECONDARY
Change From Baseline in Weekly Average of Daily Peak Pruritus NRS at Week 16
-1.54; -3.44; -3.70
SECONDARY
Percent Change From Baseline in Weekly Average of Daily Peak Pruritus NRS at Week 4
-12.5; -33.1; -34.7
SECONDARY
Change From Baseline in Total Hospital Anxiety and Depression Scale (HADS) at Week 16
-2.5; -5.2; -3.8
SECONDARY
Percentage of Participants With Improvement (Reduction ≥4 Points) of Weekly Average of Daily Peak Pruritus NRS From Baseline at Week 4
4.8; 20.5; 22.0
SECONDARY
Percentage of Participants With Skin-infection Treatment Emergent Adverse Events (TEAEs) (Excluding Herpetic Infections) Through Week 16
18.8; 9.6; 9.8
SECONDARY
Percentage of Participants With Serious TEAEs Through Week 16
1.2; 0; 0

Eligibility Criteria

Inclusion Criteria

  • Male or female ≥12 to <18 years of age at time of screening visit
  • Diagnosis of AD according to the American Academy of Dermatology consensus criteria at screening visit
  • IGA ≥3 at screening and baseline visit
  • EASI ≥16 at the screening and baseline visit
  • Baseline Pruritus NRS average score for maximum itch intensity ≥4
  • ≥10% BSA of AD involvement at the screening and baseline visits
  • With documented recent history (within 6 months before the screening visit) of inadequate response to topical AD medication(s) or for whom topical treatments is medically inadvisable

Exclusion Criteria

  • Participation in a prior dupilumab clinical study
  • Treatment with topical corticosteroids (TCS) or topical calcineurin inhibitors (TCI) within 2 weeks before the baseline visit
  • Having used immunosuppressive/immunomodulating drugs within 4 weeks before the baseline visit
  • Body weight <30 kg at baseline
  • Active chronic or acute infection requiring treatment with systemic antibiotics, antivirals, antiprotozoals, or antifungals within 2 weeks before the baseline visit
  • Known or suspected immunodeficiency, known history of human immunodeficiency virus (HIV) infection or HIV seropositivity at the screening visit, established diagnosis of HBV infection or HBV seropositivity at screening, established diagnosis of HCV infection or HCV seropositivity at screening
  • History of malignancy before the baseline visit
  • Diagnosed active endoparasitic infections or at high risk of these infections
  • Patient is female who is pregnant, breastfeeding, or planning to become pregnant or breastfeed during the study
  • Patient is female of childbearing potential and sexually active, who is unwilling to use adequate methods of contraception throughout the duration of the study and for 120 days after the last dose of study drug

Other protocol-defined inclusion/exclusion criteria may apply

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03054428) and the linked publication. 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. Informational only — not medical advice.

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