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

NCT ID: NCT03054428

Last Updated: 2019-07-23

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

251 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-21

Study Completion Date

2018-06-05

Brief Summary

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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.

Detailed Description

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Conditions

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Moderate-to-Severe Atopic Dermatitis Dermatitis, Dermatitis Atopic Eczema, Skin Diseases, Skin Diseases Genetic, Genetic Diseases Inborn, Skin Disease, Eczematous Skin Hypersensitivity, Immediate Hypersensitivity, Immune System Diseases Dermatitis, Atopic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Participants received placebo matching dupilumab once every 2 weeks (Q2W) (including doubling the amount of placebo on day 1 to match the loading dose). In order to maintain blinding for the study, participants in the \<60 kilogram (kg) weight stratum received, in a 1:1 ratio, either placebo matching 200 milligram (mg) dupilumab (including doubling the amount of placebo on day 1 to match the loading dose) or placebo matching 300 milligram (mg) dupilumab (including doubling the amount of placebo on day 1 to match the loading dose). In the ≥60 kg weight stratum, the participants randomized to the placebo group received placebo matching 300 mg dupilumab (including doubling the amount of placebo on day 1 to match the loading dose).

Group Type EXPERIMENTAL

Placebo

Intervention Type DRUG

Subcutaneous injection among the different quadrants of the abdomen (avoiding navel and waist areas), upper thighs, and upper arms.

Dupilumab 300 mg Q4W

Participants received once every 4 weeks (Q4W) subcutaneous (SC) injections of 300 milligrams (mg) dupilumab following a loading dose of 600 mg on day 1. In order to maintain blinding, all participants received an injection once every 2 weeks (Q2W) from day 1 to week 14. Participants received placebo 2 milliliter (mL) injection at the weeks dupilumab was not given.

Group Type EXPERIMENTAL

Dupilumab

Intervention Type DRUG

Subcutaneous injection among the different quadrants of the abdomen (avoiding navel and waist areas), upper thighs, and upper arms.

Dupilumab 200 mg or 300 mg Q2W

Participants with baseline weight \<60 kg received once every 2 weeks (Q2W) subcutaneous (SC) injections of 200 milligrams (mg) dupilumab following a loading dose of 400 mg on day 1. Participants with baseline weight ≥60 kg received Q2W SC injections of 300 mg dupilumab following a loading dose of 600 mg on day 1.

Group Type EXPERIMENTAL

Dupilumab

Intervention Type DRUG

Subcutaneous injection among the different quadrants of the abdomen (avoiding navel and waist areas), upper thighs, and upper arms.

Interventions

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Dupilumab

Subcutaneous injection among the different quadrants of the abdomen (avoiding navel and waist areas), upper thighs, and upper arms.

Intervention Type DRUG

Placebo

Subcutaneous injection among the different quadrants of the abdomen (avoiding navel and waist areas), upper thighs, and upper arms.

Intervention Type DRUG

Other Intervention Names

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REGN668

Eligibility Criteria

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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
Minimum Eligible Age

12 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role collaborator

Regeneron Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trial Management

Role: STUDY_DIRECTOR

Regeneron Pharmaceuticals

Locations

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Regeneron Investigational Site

Birmingham, Alabama, United States

Site Status

Regeneron Investigational Site

Gilbert, Arizona, United States

Site Status

Regeneron Investigational Site

Bakersfield, California, United States

Site Status

Regeneron Investigational Site

Long Beach, California, United States

Site Status

Regeneron Investigational Site

Rolling Hills Estates, California, United States

Site Status

Regeneron Investigational Site

San Diego, California, United States

Site Status

Regeneron Investigational Site

Santa Rosa, California, United States

Site Status

Regeneron Investigational Site

Centennial, Colorado, United States

Site Status

Regeneron Investigational Site

Denver, Colorado, United States

Site Status

Regeneron Investigational Site

Washington D.C., District of Columbia, United States

Site Status

Regeneron Investigational Site

Tampa, Florida, United States

Site Status

Regeneron Investigational Site

Macon, Georgia, United States

Site Status

Regeneron Investigational Site

Sandy Springs, Georgia, United States

Site Status

Regeneron Investigational Site

Chicago, Illinois, United States

Site Status

Regeneron Investigational Site

Evansville, Indiana, United States

Site Status

Regeneron Investigational Site

Indianapolis, Indiana, United States

Site Status

Regeneron Investigational Site

Plainfield, Indiana, United States

Site Status

Regeneron Investigational Site

Rockville, Maryland, United States

Site Status

Regeneron Investigational Site

Boston, Massachusetts, United States

Site Status

Regeneron Investigational Site

Boston, Massachusetts, United States

Site Status

Regeneron Investigational Site

Plymouth, Minnesota, United States

Site Status

Regeneron Investigational Site

St Louis, Missouri, United States

Site Status

Regeneron Investigational Site

Forest Hills, New York, United States

Site Status

Regeneron Investigational Site

New York, New York, United States

Site Status

Regeneron Investigational Site

Rochester, New York, United States

Site Status

Regeneron Investigational Site

Chapel Hill, North Carolina, United States

Site Status

Regeneron Investigational Site

Bexley, Ohio, United States

Site Status

Regeneron Investigational Site

Tulsa, Oklahoma, United States

Site Status

Regeneron Investigational Site

Portland, Oregon, United States

Site Status

Regeneron Investigational Site

Portland, Oregon, United States

Site Status

Regeneron Investigational Site

Philadelphia, Pennsylvania, United States

Site Status

Regeneron Investigational Site

Charleston, South Carolina, United States

Site Status

Regeneron Investigational Site

Bellaire, Texas, United States

Site Status

Regeneron Investigational Site

San Antonio, Texas, United States

Site Status

Regeneron Investigational Site

Norfolk, Virginia, United States

Site Status

Regeneron Investigational Site

Seattle, Washington, United States

Site Status

Regeneron Investigational Site

Calgary, Alberta, Canada

Site Status

Regeneron Investigational Site

Surrey, British Columbia, Canada

Site Status

Regeneron Investigational Site

Surrey, British Columbia, Canada

Site Status

Regeneron Investigational Site

Winnipeg, Manitoba, Canada

Site Status

Regeneron Investigational Site

Markham, Ontario, Canada

Site Status

Regeneron Investigational Site

Ottawa, Ontario, Canada

Site Status

Regeneron Investigational Site

Peterborough, Ontario, Canada

Site Status

Regeneron Research Site

Richmond Hill, Ontario, Canada

Site Status

Regeneron Investigational Site

Windsor, Ontario, Canada

Site Status

Countries

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United States Canada

References

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Langley RG, Gherardi G, Coleman A, Ardeleanu M, Rodriguez-Marco A, Levy S, Bansal A, Chen Z, Rossi AB, Shumel B, Khokhar FA. The Safety Data of Dupilumab for the Treatment of Moderate-to-Severe Atopic Dermatitis in Infants, Children, Adolescents, and Adults. Am J Clin Dermatol. 2025 Sep 24. doi: 10.1007/s40257-025-00952-w. Online ahead of print.

Reference Type DERIVED
PMID: 40993471 (View on PubMed)

Kamal MA, Kosloski MP, Lai CH, Partridge MA, Rajadhyaksha M, Kanamaluru V, Bansal A, Shabbir A, Shumel B, Ardeleanu M, Richards SM, Yan H, Xu CR, Rodriguez-Marco A, Xiao J, Khokhar FA, Gherardi G, Babilonia E, Maloney J, Mortensen E, Akinlade B, Braunstein N, Stahl N, Torri A, Davis JD, DiCioccio AT. Immunogenicity of dupilumab in adult and pediatric patients with atopic dermatitis. Front Immunol. 2024 Nov 11;15:1466372. doi: 10.3389/fimmu.2024.1466372. eCollection 2024.

Reference Type DERIVED
PMID: 39588375 (View on PubMed)

Paller AS, Silverberg JI, Cork MJ, Guttman-Yassky E, Lockshin B, Irvine AD, Kim MB, Kabashima K, Chen Z, Lu Y, Bansal A, Rossi AB, Shabbir A. Efficacy and Safety of Dupilumab in Patients With Erythrodermic Atopic Dermatitis: A Post Hoc Analysis of 6 Randomized Clinical Trials. JAMA Dermatol. 2023 Mar 1;159(3):255-266. doi: 10.1001/jamadermatol.2022.6192.

Reference Type DERIVED
PMID: 36723913 (View on PubMed)

Blauvelt A, Guttman-Yassky E, Paller AS, Simpson EL, Cork MJ, Weisman J, Browning J, Soong W, Sun X, Chen Z, Kosloski MP, Kamal MA, Delevry D, Chuang CC, O'Malley JT, Bansal A. 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). Am J Clin Dermatol. 2022 May;23(3):365-383. doi: 10.1007/s40257-022-00683-2. Epub 2022 May 14.

Reference Type DERIVED
PMID: 35567671 (View on PubMed)

Simpson EL, Paller AS, Siegfried EC, Thaci D, Wollenberg A, Cork MJ, Marcoux D, Huang R, Chen Z, Rossi AB, Shumel B, Sierka D, Bansal A. 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. Dermatol Ther (Heidelb). 2021 Oct;11(5):1643-1656. doi: 10.1007/s13555-021-00568-y. Epub 2021 Aug 24.

Reference Type DERIVED
PMID: 34427891 (View on PubMed)

Kamal MA, Kovalenko P, Kosloski MP, Srinivasan K, Zhang Y, Rajadhyaksha M, Lai CH, Kanamaluru V, Xu C, Sun X, Simpson EL, Paller AS, Siegfried EC, Shumel B, Bansal A, Al-Huniti N, Davis JD. The Posology of Dupilumab in Pediatric Patients With Atopic Dermatitis. Clin Pharmacol Ther. 2021 Nov;110(5):1318-1328. doi: 10.1002/cpt.2366. Epub 2021 Aug 24.

Reference Type DERIVED
PMID: 34270797 (View on PubMed)

Siegfried EC, Bieber T, Simpson EL, Paller AS, Beck LA, Boguniewicz M, Schneider LC, Khokhar FA, Chen Z, Prescilla R, Mina-Osorio P, Bansal A. Effect of Dupilumab on Laboratory Parameters in Adolescents with Atopic Dermatitis: Results from a Randomized, Placebo-Controlled, Phase 3 Clinical Trial. Am J Clin Dermatol. 2021 Mar;22(2):243-255. doi: 10.1007/s40257-020-00583-3. Epub 2021 Mar 3.

Reference Type DERIVED
PMID: 33655423 (View on PubMed)

Bansal A, Simpson EL, Paller AS, Siegfried EC, Blauvelt A, de Bruin-Weller M, Corren J, Sher L, Guttman-Yassky E, Chen Z, Daizadeh N, Kamal MA, Shumel B, Mina-Osorio P, Mannent L, Patel N, Graham NMH, Khokhar FA, Ardeleanu M. Conjunctivitis in Dupilumab Clinical Trials for Adolescents with Atopic Dermatitis or Asthma. Am J Clin Dermatol. 2021 Jan;22(1):101-115. doi: 10.1007/s40257-020-00577-1.

Reference Type DERIVED
PMID: 33481203 (View on PubMed)

Silverberg JI, Yosipovitch G, Simpson EL, Kim BS, Wu JJ, Eckert L, Guillemin I, Chen Z, Ardeleanu M, Bansal A, Kaur M, Rossi AB, Graham NMH, Patel N, Gadkari A. Dupilumab treatment results in early and sustained improvements in itch in adolescents and adults with moderate to severe atopic dermatitis: Analysis of the randomized phase 3 studies SOLO 1 and SOLO 2, AD ADOL, and CHRONOS. J Am Acad Dermatol. 2020 Jun;82(6):1328-1336. doi: 10.1016/j.jaad.2020.02.060. Epub 2020 Mar 3.

Reference Type DERIVED
PMID: 32135208 (View on PubMed)

Paller AS, Bansal A, Simpson EL, Boguniewicz M, Blauvelt A, Siegfried EC, Guttman-Yassky E, Hultsch T, Chen Z, Mina-Osorio P, Lu Y, Rossi AB, He X, Kamal M, Graham NMH, Pirozzi G, Ruddy M, Eckert L, Gadkari A. Clinically Meaningful Responses to Dupilumab in Adolescents with Uncontrolled Moderate-to-Severe Atopic Dermatitis: Post-hoc Analyses from a Randomized Clinical Trial. Am J Clin Dermatol. 2020 Feb;21(1):119-131. doi: 10.1007/s40257-019-00478-y.

Reference Type DERIVED
PMID: 31823222 (View on PubMed)

Simpson EL, Paller AS, Siegfried EC, Boguniewicz M, Sher L, Gooderham MJ, Beck LA, Guttman-Yassky E, Pariser D, Blauvelt A, Weisman J, Lockshin B, Hultsch T, Zhang Q, Kamal MA, Davis JD, Akinlade B, Staudinger H, Hamilton JD, Graham NMH, Pirozzi G, Gadkari A, Eckert L, Stahl N, Yancopoulos GD, Ruddy M, Bansal A. Efficacy and Safety of Dupilumab in Adolescents With Uncontrolled Moderate to Severe Atopic Dermatitis: A Phase 3 Randomized Clinical Trial. JAMA Dermatol. 2020 Jan 1;156(1):44-56. doi: 10.1001/jamadermatol.2019.3336.

Reference Type DERIVED
PMID: 31693077 (View on PubMed)

Simpson EL, de Bruin-Weller M, Eckert L, Whalley D, Guillemin I, Reaney M, Chen Z, Nelson L, Qin S, Bansal A, Gadkari A. Responder Threshold for Patient-Oriented Eczema Measure (POEM) and Children's Dermatology Life Quality Index (CDLQI) in Adolescents with Atopic Dermatitis. Dermatol Ther (Heidelb). 2019 Dec;9(4):799-805. doi: 10.1007/s13555-019-00333-2. Epub 2019 Oct 22.

Reference Type DERIVED
PMID: 31641952 (View on PubMed)

Cork MJ, Thaci D, Eichenfield LF, Arkwright PD, Hultsch T, Davis JD, Zhang Y, Zhu X, Chen Z, Li M, Ardeleanu M, Teper A, Akinlade B, Gadkari A, Eckert L, Kamal MA, Ruddy M, Graham NMH, Pirozzi G, Stahl N, DiCioccio AT, Bansal A. Dupilumab in adolescents with uncontrolled moderate-to-severe atopic dermatitis: results from a phase IIa open-label trial and subsequent phase III open-label extension. Br J Dermatol. 2020 Jan;182(1):85-96. doi: 10.1111/bjd.18476. Epub 2019 Oct 8.

Reference Type DERIVED
PMID: 31595499 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2015-004458-16

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

R668-AD-1526

Identifier Type: -

Identifier Source: org_study_id

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