Safety, Pharmacokinetics and Efficacy of Dupilumab in Patients ≥6 Months to <6 Years With Moderate-to-Severe Atopic Dermatitis (Liberty AD PRESCHOOL)

NCT ID: NCT03346434

Last Updated: 2022-07-28

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

202 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-30

Study Completion Date

2021-07-08

Brief Summary

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This study is a 2-part (parts A and B) phase 2/3 study to evaluate the safety, pharmacokinetics (PK) and efficacy of dupilumab in participants 6 months to less than 6 years of age with moderate-to-severe atopic dermatitis (AD).

Detailed Description

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1. Part A (open-label, single-ascending-dose, sequential cohort phase 2 study):

* Primary objective is to characterize the safety and PK of dupilumab administered as a single dose in pediatric participants, 6 months to less than 6 years of age, with severe AD.
* Secondary objective is to evaluate the efficacy and immunogenicity of a single dose of dupilumab in participants 6 months to less than 6 years of age with severe AD.
2. Part B (randomized, double-blind, parallel-group, placebo-controlled phase 3 study):

* Primary objective is to demonstrate the efficacy of multiple doses of dupilumab over 16 weeks of treatment when administered concomitantly with topical corticosteroids (TCS) in pediatric participants, 6 months to less than 6 years of age, with moderate-to-severe AD.
* Secondary objective is to assess the safety and immunogenicity of multiple doses of dupilumab over 16 weeks of treatment when administered concomitantly with TCS in participants 6 months to less than 6 years of age with moderate-to-severe AD.

Conditions

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Dermatitis, Atopic

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Part A: Single-ascending-dose cohorts staggered by age;

Part B: Parallel Group
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Part A: Open Label;

Part B: Masked, Randomized

Study Groups

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Part A (Open label Dupilumab): Age cohorts 1 & 2

Age cohort 1: ≥2 years old to \<6 years old

Age cohort 2: ≥6 months to \<2 years old

Group Type EXPERIMENTAL

Dupilumab

Intervention Type DRUG

Solution for injection, subcutaneous (SC)

Part B (Double-blind): Dupilumab dose 1

The results of part A will be used to guide the selection of dose levels and dosing frequency for part B.

Group Type EXPERIMENTAL

Dupilumab

Intervention Type DRUG

Solution for injection, subcutaneous (SC)

Part B (Double-blind): Dupilumab dose 2

The results of part A will be used to guide the selection of dose levels and dosing frequency for part B.

Group Type EXPERIMENTAL

Dupilumab

Intervention Type DRUG

Solution for injection, subcutaneous (SC)

Part B (Double-Blind): Placebo

Group Type EXPERIMENTAL

Matching placebo

Intervention Type DRUG

Solution for injection, subcutaneous (SC)

Interventions

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Dupilumab

Solution for injection, subcutaneous (SC)

Intervention Type DRUG

Matching placebo

Solution for injection, subcutaneous (SC)

Intervention Type DRUG

Other Intervention Names

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DUPIXENT® REGN668 SAR231893

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of atopic dermatitis (AD) according to the American Academy of Dermatology consensus criteria at the screening visit
* Participants with documented recent history (within 6 months before the screening visit) of inadequate response to topical AD medication(s)
* IGA score at screening and baseline visits
* part A: IGA = 4
* part B: IGA ≥3
* EASI score at screening and baseline visits
* part A: EASI ≥21
* part B: EASI ≥16
* Body Surface Area (BSA) involvement at screening and baseline visits
* part A: ≥15%
* part B: ≥10%
* At least 11 (of a total of 14\*) applications of a topical emollient (moisturizer) during the 7 consecutive days immediately before the baseline visit (not including the day of randomization) (for part B of the study only)
* Baseline worst scratch/itch score weekly average score for maximum scratch/itch intensity ≥4 (for part B of the study only)
* At least 11 (of a total of 14) daily applications of low potency TCS during the 2-week TCS standardization period (beginning on day -14) leading up to the baseline visit (for part B of the study only).

Exclusion Criteria

* Prior treatment with dupilumab
* History of important side effects of low potency topical corticosteroids (only applicable for part B of the study)
* Having used immunosuppressive/immunomodulating drugs within 4 weeks before the baseline visit
* Treatment with a live (attenuated) vaccine within 4 weeks before the baseline visit
* 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 at any time before the baseline visit
* Diagnosed active endoparasitic infections or at high risk of these infections
* Severe concomitant illness(es) that, in the investigator's judgment, would adversely affect the patient's participation in the study
* Body weight \<5 kg or ≥30 kg at baseline (only applicable part B of the study)
Minimum Eligible Age

6 Months

Maximum Eligible Age

5 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

Long Beach, California, United States

Site Status

Regeneron Investigational site

Los Angeles, California, United States

Site Status

Regeneron Investigational Site

Palo Alto, 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

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

Site Status

Regeneron Investigational Site

Coral Gables, Florida, United States

Site Status

Regeneron Investigational Site

Tampa, Florida, United States

Site Status

Regeneron Investigational Site

Columbus, Georgia, 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

Rockville, Maryland, United States

Site Status

Regeneron Investigational Site

Boston, Massachusetts, United States

Site Status

Regeneron Investigational Site

Ann Arbor, Michigan, United States

Site Status

Regeneron Investigational Site

Ypsilanti, Michigan, United States

Site Status

Regeneron Investigational Site

St Louis, Missouri, United States

Site Status

Regeneron Investigational Site

Lincoln, Nebraska, United States

Site Status

Regeneron Investigational Site

Hackensack, New Jersey, 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

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

North Charleston, South Carolina, United States

Site Status

Regeneron Investigational Site

Austin, 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

Milwaukee, Wisconsin, United States

Site Status

Regeneron Investigational Site

Osnabrück, Lower Saxony, Germany

Site Status

Regeneron Investigational site

Münster, North Rhine-Westphal, Germany

Site Status

Regeneron Investigational Site

Dresden, Saxony, Germany

Site Status

Regeneron Investigational site

Frankfurt am Main, , Germany

Site Status

Regeneron Investigational Site

Kiel, , Germany

Site Status

Regeneron Investigational Site

München, , Germany

Site Status

Regeneron Investigational site

München, , Germany

Site Status

Regeneron Investigational Site

Bialystok, , Poland

Site Status

Regeneron Investigational Site

Katowice, , Poland

Site Status

Regeneron Investigational Site

Krakow, , Poland

Site Status

Regeneron Investigational Site

Ostrowiec Świętokrzyski, , Poland

Site Status

Regeneron Investigational Site

Warsaw, , Poland

Site Status

Regeneron Investigational Site

Warsaw, , Poland

Site Status

Regeneron Investigational Site

Manchester, Lancashire, United Kingdom

Site Status

Regeneron Investigational Site

Sheffield, South Yorkshire, United Kingdom

Site Status

Countries

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United States Germany Poland United Kingdom

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)

Rossi AB, Mello AM, Zahn J. Dupilumab Efficacy in Children with Atopic Dermatitis with Different Phenotypes and Endotypes: A Case Series. Adv Ther. 2025 Jul;42(7):3186-3206. doi: 10.1007/s12325-025-03150-6. Epub 2025 May 8.

Reference Type DERIVED
PMID: 40338484 (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)

Boguniewicz M, Sher LD, Paller AS, Arkwright PD, Yoshihara S, Chen Z, Shah P, Marco AR. Dupilumab is Efficacious in Young Children with Atopic Dermatitis Regardless of Type 2 Comorbidities. Adv Ther. 2024 Dec;41(12):4601-4616. doi: 10.1007/s12325-024-02998-4. Epub 2024 Oct 29.

Reference Type DERIVED
PMID: 39470878 (View on PubMed)

Paller AS, Siegfried EC, Simpson EL, Cork MJ, Sidbury R, Chen IH, Khokhar FA, Xiao J, Dubost-Brama A, Bansal A. Dupilumab Safety and Efficacy up to 1 Year in Children Aged 6 Months to 5 Years with Atopic Dermatitis: Results from a Phase 3 Open-Label Extension Study. Am J Clin Dermatol. 2024 Jul;25(4):655-668. doi: 10.1007/s40257-024-00859-y. Epub 2024 May 14.

Reference Type DERIVED
PMID: 38743155 (View on PubMed)

Paller AS, Siegfried EC, Cork MJ, Arkwright PD, Eichenfield LF, Ramien M, Khokhar FA, Chen Z, Zhang A, Cyr SL. Infections in Children Aged 6 Months to 5 Years Treated with Dupilumab in a Placebo-Controlled Clinical Trial of Moderate-to-Severe Atopic Dermatitis. Paediatr Drugs. 2024 Mar;26(2):163-173. doi: 10.1007/s40272-023-00611-9. Epub 2024 Jan 24.

Reference Type DERIVED
PMID: 38267692 (View on PubMed)

Paller AS, Pinter A, Wine Lee L, Aschoff R, Zdybski J, Schnopp C, Praestgaard A, Bansal A, Shumel B, Prescilla R, Bastian M. Efficacy and Safety of Dupilumab Treatment with Concomitant Topical Corticosteroids in Children Aged 6 Months to 5 Years with Severe Atopic Dermatitis. Adv Ther. 2024 Mar;41(3):1046-1061. doi: 10.1007/s12325-023-02753-1. Epub 2024 Jan 9.

Reference Type DERIVED
PMID: 38194047 (View on PubMed)

Siegfried EC, Simpson EL, Cork MJ, Arkwright PD, Wine Lee L, Chen Z, Prescilla R, Bansal A, Levit NA, Rodriguez Marco A. Dupilumab Treatment Leads to Rapid and Consistent Improvement of Atopic Dermatitis in All Anatomical Regions in Patients Aged 6 Months to 5 Years. Dermatol Ther (Heidelb). 2023 Sep;13(9):1987-2000. doi: 10.1007/s13555-023-00960-w. Epub 2023 Jul 22.

Reference Type DERIVED
PMID: 37480432 (View on PubMed)

Yang N, Ye Y, Shao J, Wu H, Xu Q, Zhu J, Liu J, Li Z. Efficacy of Dupilumab in Children 6 Months to 11 Years Old With Atopic Dermatitis: A Retrospective Real-World Study in China. Dermatitis. 2024 Jan-Feb;35(S1):S39-S46. doi: 10.1089/derm.2022.0069. Epub 2023 Feb 17.

Reference Type DERIVED
PMID: 36800177 (View on PubMed)

Paller AS, Siegfried EC, Cork MJ, Wollenberg A, Arkwright PD, Gonzalez ME, Lockshin B, Chen Z, Bansal A, Levit NA, Prescilla R. Laboratory Safety from a Randomized 16-Week Phase III Study of Dupilumab in Children Aged 6 Months to 5 Years with Moderate-to-Severe Atopic Dermatitis. Paediatr Drugs. 2023 Jan;25(1):67-77. doi: 10.1007/s40272-022-00553-8. Epub 2022 Dec 19.

Reference Type DERIVED
PMID: 36529811 (View on PubMed)

Paller AS, Simpson EL, Siegfried EC, Cork MJ, Wollenberg A, Arkwright PD, Soong W, Gonzalez ME, Schneider LC, Sidbury R, Lockshin B, Meltzer S, Wang Z, Mannent LP, Amin N, Sun Y, Laws E, Akinlade B, Dillon M, Kosloski MP, Kamal MA, Dubost-Brama A, Patel N, Weinreich DM, Yancopoulos GD, O'Malley JT, Bansal A; participating investigators. Dupilumab in children aged 6 months to younger than 6 years with uncontrolled atopic dermatitis: a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet. 2022 Sep 17;400(10356):908-919. doi: 10.1016/S0140-6736(22)01539-2.

Reference Type DERIVED
PMID: 36116481 (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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2016-000955-28

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

R668-AD-1539

Identifier Type: -

Identifier Source: org_study_id

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