Efficacy and Safety Study of Dupilumab in Patients With Persistent Asthma

NCT ID: NCT03782532

Last Updated: 2022-12-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

486 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-25

Study Completion Date

2022-05-21

Brief Summary

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Primary Objective:

To evaluate the efficacy of dupilumab in patients with persistent asthma

Secondary Objectives:

* To evaluate the safety and tolerability of dupilumab
* To evaluate the effect of dupilumab on improving patient reported outcomes including health related quality of life
* To evaluate dupilumab systemic exposure and immunogenicity

Detailed Description

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The total duration of study per patient is approximately 40 weeks, including 3 to 5 weeks of screening period, 24 weeks of treatment period and 12 weeks of post-treatment period.

Conditions

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Asthma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Dupilumab

For patients without oral corticosteroids (OCS) maintenance therapy, dose 1 of dupilumab administered once in 2 weeks (q2w) with loading dose of dupilumab, two times dose 1; for patients on OCS maintenance therapy, the dose will be dupilumab dose 2 q2w with loading dose 2 times dose 2

Group Type EXPERIMENTAL

Dupilumab SAR231893

Intervention Type DRUG

Pharmaceutical form: Solution

Route of administration: Subcutaneous

Asthma Controller Therapies (include prednisone/prednisolone)

Intervention Type DRUG

Pharmaceutical form: Aerosol, capsules, tablets, oral solution

Route of administration: Inhalation, oral

Asthma Reliever Therapies

Intervention Type DRUG

Pharmaceutical form: Nebulized, aerosol

Route of administration: Inhaled

Placebo for dupilumab

For patients without OCS maintenance therapy, the patients will take placebo matching to dupilumab dose 1 q2w with loading dose; for patients on OCS maintenance therapy, the patients will take placebo matching to dupilumab dose 2 q2w with loading dose

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Pharmaceutical form: Solution

Route of administration: Subcutaneous

Asthma Controller Therapies (include prednisone/prednisolone)

Intervention Type DRUG

Pharmaceutical form: Aerosol, capsules, tablets, oral solution

Route of administration: Inhalation, oral

Asthma Reliever Therapies

Intervention Type DRUG

Pharmaceutical form: Nebulized, aerosol

Route of administration: Inhaled

Interventions

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Dupilumab SAR231893

Pharmaceutical form: Solution

Route of administration: Subcutaneous

Intervention Type DRUG

Placebo

Pharmaceutical form: Solution

Route of administration: Subcutaneous

Intervention Type DRUG

Asthma Controller Therapies (include prednisone/prednisolone)

Pharmaceutical form: Aerosol, capsules, tablets, oral solution

Route of administration: Inhalation, oral

Intervention Type DRUG

Asthma Reliever Therapies

Pharmaceutical form: Nebulized, aerosol

Route of administration: Inhaled

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adults and adolescent patients (≥12 years of age) with a physician diagnosis of asthma for ≥12 months, based on the Global Initiative for Asthma 2017 Guidelines and the following criteria:
* Patients requiring a third controller for their asthma will be considered eligible for this study, and it should also be used for at least 3 months with a stable dose ≥1 month prior to the screening visit (Visit 1).
* Patients requiring maintenance oral corticosteroids (OCS) with a stable dose ≤10 mg/day prednisone or equivalent will be allowed; OCS should be used for at least 3 months with a stable dose ≥1 month prior to the screening visit (Visit 1).
* Pre-bronchodilator FEV1 ≤ 80% of predicted normal for adults and ≤90% of predicted normal for adolescents at the screening visit and the randomization visit (Visits 1 and 2), prior to randomization.
* Asthma Control Questionnaire 5-question version (ACQ-5) score ≥1.5 at the screening visit and the randomization visit (Visits 1 and 2), prior to randomization.
* For patients not requiring maintenance OCS, screening blood eosinophil count ≥150 cells/μL or Fractional Exhaled Nitric Oxide (FENO) ≥25 parts per billion (ppb); for patients requiring maintenance OCS, there is no minimum requirement for blood eosinophil count and FENO level.

Exclusion Criteria

* Patients \<12 years of age or the minimum legal age for adolescents in the country of the investigative site, whichever is higher (for those countries where local regulations permit enrollment of adults only, patient recruitment will be restricted to those who are ≥18 years of age).
* Weight is less than 30 kg at the screening visit (Visit 1) or the randomization visit (Visit 2).
* Chronic obstructive pulmonary disease or other lung diseases (eg, idiopathic pulmonary fibrosis) which may impair lung function.
* A patient who experiences a severe asthma exacerbation (defined as deterioration of asthma that results in emergency treatment, hospitalization due to asthma, treatment with systemic steroids, or treatment with systemic steroid at least twice the previous dose for patients on OCS maintenance) at any time from 1 month prior to the screening visit (Visit 1) up to and including the randomization visit (Visit 2).
* Evidence of lung disease(s) other than asthma, either clinical or imaging evidence (eg, chest X-ray, computed tomography, and magnetic resonance imaging) within 3 months prior to the screening visit (Visit 1) as per local standard of care.
* Current smoker or cessation of smoking within 6 months prior to the screening visit (Visit 1).
* Previous smoker with a smoking history \>10 pack-years.
* Comorbid disease that might interfere with the evaluation of investigational medicinal product (IMP).

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Regeneron Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Sciences & Operations

Role: STUDY_DIRECTOR

Sanofi

Locations

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Investigational Site Number :1560006

Shanghai, , China

Site Status

Investigational Site Number :1560002

Shanghai, , China

Site Status

Investigational Site Number :1560018

Shenyang, , China

Site Status

Investigational Site Number :1560036

Shenyang, , China

Site Status

Investigational Site Number :1560012

Shenzhen, , China

Site Status

Investigational Site Number :1560042

Shenzhen, , China

Site Status

Investigational Site Number :1560026

Hangzhou, , China

Site Status

Investigational Site Number :1560043

Hangzhou, , China

Site Status

Investigational Site Number :1560038

Hefei, , China

Site Status

Investigational Site Number :1560044

Hohhot, , China

Site Status

Investigational Site Number :1560008

Hohhot, , China

Site Status

Investigational Site Number :1560022

Lanzhou, , China

Site Status

Investigational Site Number :1560024

Nanchang, , China

Site Status

Investigational Site Number :1560051

Nanjing, , China

Site Status

Investigational Site Number :1560054

Nanjing, , China

Site Status

Investigational Site Number :1560037

Nanjing, , China

Site Status

Investigational Site Number :1560035

Pingxiang, , China

Site Status

Investigational Site Number :1560050

Shanghai, , China

Site Status

Investigational Site Number :1560049

Shanghai, , China

Site Status

Investigational Site Number :1560005

Shanghai, , China

Site Status

Investigational Site Number :1560011

Shanghai, , China

Site Status

Investigational Site Number :1560017

Shanghai, , China

Site Status

Investigational Site Number :1560013

Baotou, , China

Site Status

Investigational Site Number :1560016

Beijing, , China

Site Status

Investigational Site Number :1560029

Beijing, , China

Site Status

Investigational Site Number :1560015

Beijing, , China

Site Status

Investigational Site Number :1560056

Beijing, , China

Site Status

Investigational Site Number :1560057

Changchun, , China

Site Status

Investigational Site Number :1560010

Changsha, , China

Site Status

Investigational Site Number :1560030

Chengdu, , China

Site Status

Investigational Site Number :1560053

Chengdu, , China

Site Status

Investigational Site Number :1560025

Chongqing, , China

Site Status

Investigational Site Number :1560004

Guangzhou, , China

Site Status

Investigational Site Number :1560001

Guangzhou, , China

Site Status

Investigational Site Number :1560045

Guangzhou, , China

Site Status

Investigational Site Number :1560032

Guiyang, , China

Site Status

Investigational Site Number :1560019

Hangzhou, , China

Site Status

Investigational Site Number :1560007

Hangzhou, , China

Site Status

Investigational Site Number :1560014

Hangzhou, , China

Site Status

Investigational Site Number :1560003

Shijiazhuang, , China

Site Status

Investigational Site Number :1560041

Shijiazhuang, , China

Site Status

Investigational Site Number :1560031

Suzhou, , China

Site Status

Investigational Site Number :1560048

Taiyuan, , China

Site Status

Investigational Site Number :1560020

Tianjin, , China

Site Status

Investigational Site Number :1560033

Ürümqi, , China

Site Status

Investigational Site Number :1560021

Wenzhou, , China

Site Status

Investigational Site Number :1560052

Wuhan, , China

Site Status

Investigational Site Number :1560028

Wuhan, , China

Site Status

Investigational Site Number :1560040

Xi'an, , China

Site Status

Investigational Site Number :1560046

Xiamen, , China

Site Status

Investigational Site Number :1560027

Xiangtan, , China

Site Status

Investigational Site Number :1560023

Xuzhou, , China

Site Status

Investigational Site Number :1560055

Yangzhou, , China

Site Status

Investigational Site Number :1560047

Zhanjiang, , China

Site Status

Investigational Site Number :3560006

Chandigarh, , India

Site Status

Investigational Site Number :3560002

Coimbatore, , India

Site Status

Investigational Site Number :3560013

Hyderabad, , India

Site Status

Investigational Site Number :3560005

Jaipur, , India

Site Status

Investigational Site Number :3560015

Jaipur, , India

Site Status

Investigational Site Number :3560010

Kolkata, , India

Site Status

Investigational Site Number :3560011

Kozhikode, , India

Site Status

Investigational Site Number :3560012

Mohali, , India

Site Status

Investigational Site Number :3560003

Nagpur, , India

Site Status

Investigational Site Number :3560016

Nagpur, , India

Site Status

Investigational Site Number :3560001

New Delhi, , India

Site Status

Investigational Site Number :3560009

Pune, , India

Site Status

Investigational Site Number :3560007

Vellore, , India

Site Status

Countries

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China India

References

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Zhang Q, Zhong N, Dhooria S, Fu X, Fang H, Lin J, Zhu S, Laws E, Wang Y, Li V, Hu CC, Maloney J, Abdulai RM, Robinson LB. Dupilumab Efficacy and Safety in Patients With Persistent Asthma: Asia-Pacific Region. Clin Exp Allergy. 2025 Aug;55(8):691-700. doi: 10.1111/cea.70005. Epub 2025 Feb 23.

Reference Type DERIVED
PMID: 39988927 (View on PubMed)

Related Links

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Other Identifiers

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U1111-1175-0772

Identifier Type: OTHER

Identifier Source: secondary_id

2022-002375-11

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

EFC13995

Identifier Type: -

Identifier Source: org_study_id