Trial Outcomes & Findings for Open-Label Extension Study of Upadacitinib in Adult Participants With Moderate to Severe Atopic Dermatitis (NCT NCT04195698)

NCT ID: NCT04195698

Last Updated: 2025-01-09

Results Overview

Treatment-emergent adverse events (TEAEs) are defined as any adverse events that begin or worsen in severity after initiation of upadacitinib during Lead-In Study M16-046 for the UPA/UPA arm or this Study M19-850 DUPI/UPA arm through 30 days following the last dose of upadacitinib.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

475 participants

Primary outcome timeframe

UPA/UPA arm: BL visit in Lead-In M16-046 to last dose in Long-Term Extension M19-850 (median time on follow-up is 536 days); DUPI/UPA arm: BL visit in Long-Term Extension M19-850 to last dose plus a 30-day follow-up (median time on follow-up is 399 days).

Results posted on

2025-01-09

Participant Flow

A total of 475 participants were enrolled at 114 sites located in 22 countries (Australia, Canada, Croatia, Czechia, Finland, France, Germany, Hungary, Ireland, Israel, Italy, Malaysia, Netherlands, New Zealand, Norway, Poland, Singapore, Spain, Taiwan, Ukraine, United Kingdom, and the US).

Participants originally randomized to upadacitinib or dupilumab in Lead-In Study M16-046 and continued on into this Long-Term Extension Study M19-850. The ITT Population consists of all enrolled participants who received at least 1 dose of study drug in this study and is used for all efficacy analyses. The Safety Population is the same as the ITT Population and is used for all safety analyses.

Participant milestones

Participant milestones
Measure
DUPI 300mg to UPA 30mg
All participants in this study received upadacitinib 30 mg once a day (QD). Participants were grouped by previous treatment in Lead-In Study M16-046. Participants who received dupilumab (DUPI) in Lead-In Study M16-046 are included in the DUPI 300 mg Q2W/UPA 30 mg QD (DUPI/UPA) group.
UPA 30mg to UPA 30mg
All participants in this study received upadacitinib 30 mg once a day (QD). Participants were grouped by previous treatment in Lead-In Study M16-046. Participants who received upadacitinib (UPA) in Lead-In Study M16-046 are included in the UPA 30 mg QD/UPA 30 mg QD (UPA/UPA) group.
Overall Study
STARTED
239
236
Overall Study
COMPLETED
214
197
Overall Study
NOT COMPLETED
25
39

Reasons for withdrawal

Reasons for withdrawal
Measure
DUPI 300mg to UPA 30mg
All participants in this study received upadacitinib 30 mg once a day (QD). Participants were grouped by previous treatment in Lead-In Study M16-046. Participants who received dupilumab (DUPI) in Lead-In Study M16-046 are included in the DUPI 300 mg Q2W/UPA 30 mg QD (DUPI/UPA) group.
UPA 30mg to UPA 30mg
All participants in this study received upadacitinib 30 mg once a day (QD). Participants were grouped by previous treatment in Lead-In Study M16-046. Participants who received upadacitinib (UPA) in Lead-In Study M16-046 are included in the UPA 30 mg QD/UPA 30 mg QD (UPA/UPA) group.
Overall Study
Adverse Event
4
11
Overall Study
Withdrawal by Subject
9
10
Overall Study
Lost to Follow-up
5
4
Overall Study
Lack of Efficacy
2
10
Overall Study
Other
5
4

Baseline Characteristics

Open-Label Extension Study of Upadacitinib in Adult Participants With Moderate to Severe Atopic Dermatitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
DUPI 300mg to UPA 30mg
n=239 Participants
All participants in this study received upadacitinib 30 mg once a day (QD). Participants were grouped by previous treatment in Lead-In Study M16-046. Participants who received dupilumab (DUPI) in Lead-In Study M16-046 are included in the DUPI 300 mg Q2W/UPA 30 mg QD (DUPI/UPA) group.
UPA 30mg to UPA 30mg
n=236 Participants
All participants in this study received upadacitinib 30 mg once a day (QD). Participants were grouped by previous treatment in Lead-In Study M16-046. Participants who received upadacitinib (UPA) in Lead-In Study M16-046 are included in the UPA 30 mg QD/UPA 30 mg QD (UPA/UPA) group.
Total
n=475 Participants
Total of all reporting groups
Age, Continuous
35.3 years
STANDARD_DEVIATION 12.90 • n=5 Participants
36.1 years
STANDARD_DEVIATION 14.41 • n=7 Participants
35.7 years
STANDARD_DEVIATION 13.66 • n=5 Participants
Age, Customized
Not Specified · < 40 years
167 Participants
n=5 Participants
156 Participants
n=7 Participants
323 Participants
n=5 Participants
Age, Customized
Not Specified · ≥ 40 to < 65 years
66 Participants
n=5 Participants
70 Participants
n=7 Participants
136 Participants
n=5 Participants
Age, Customized
Not Specified · ≥ 65 years
6 Participants
n=5 Participants
10 Participants
n=7 Participants
16 Participants
n=5 Participants
Sex: Female, Male
Female
100 Participants
n=5 Participants
104 Participants
n=7 Participants
204 Participants
n=5 Participants
Sex: Female, Male
Male
139 Participants
n=5 Participants
132 Participants
n=7 Participants
271 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
17 Participants
n=5 Participants
16 Participants
n=7 Participants
33 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
222 Participants
n=5 Participants
220 Participants
n=7 Participants
442 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Asian
49 Participants
n=5 Participants
46 Participants
n=7 Participants
95 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
11 Participants
n=5 Participants
14 Participants
n=7 Participants
25 Participants
n=5 Participants
Race (NIH/OMB)
White
172 Participants
n=5 Participants
170 Participants
n=7 Participants
342 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
5 Participants
n=5 Participants
3 Participants
n=7 Participants
8 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Eczema Area and Severity Index (EASI) Score
3.26 score on a scale
STANDARD_DEVIATION 4.172 • n=5 Participants
2.51 score on a scale
STANDARD_DEVIATION 4.274 • n=7 Participants
2.89 score on a scale
STANDARD_DEVIATION 4.236 • n=5 Participants
Duration Since AD Diagnosis
25.141 years
STANDARD_DEVIATION 13.6369 • n=5 Participants
23.938 years
STANDARD_DEVIATION 14.9433 • n=7 Participants
24.543 years
STANDARD_DEVIATION 14.2985 • n=5 Participants

PRIMARY outcome

Timeframe: UPA/UPA arm: BL visit in Lead-In M16-046 to last dose in Long-Term Extension M19-850 (median time on follow-up is 536 days); DUPI/UPA arm: BL visit in Long-Term Extension M19-850 to last dose plus a 30-day follow-up (median time on follow-up is 399 days).

Population: The Safety Population is the same as the ITT Population for this study. Safety summaries will include data collected from the first dose of updacitinib in Lead-In Study M16-046 or Study M19-850, whichever is earlier.

Treatment-emergent adverse events (TEAEs) are defined as any adverse events that begin or worsen in severity after initiation of upadacitinib during Lead-In Study M16-046 for the UPA/UPA arm or this Study M19-850 DUPI/UPA arm through 30 days following the last dose of upadacitinib.

Outcome measures

Outcome measures
Measure
DUPI 300mg to UPA 30mg
n=239 Participants
All participants in this study received upadacitinib 30 mg once a day (QD). Participants were grouped by previous treatment in Lead-In Study M16-046. Participants who received dupilumab (DUPI) in Lead-In Study M16-046 are included in the DUPI 300 mg Q2W/UPA 30 mg QD (DUPI/UPA) group.
UPA 30mg to UPA 30mg
n=236 Participants
All participants in this study received upadacitinib 30 mg once a day (QD). Participants were grouped by previous treatment in Lead-In Study M16-046. Participants who received upadacitinib (UPA) in Lead-In Study M16-046 are included in the UPA 30 mg QD/UPA 30 mg QD (UPA/UPA) group.
Number of Participants With Treatment-Emergent Adverse Events
Any TEAE
205 Participants
223 Participants
Number of Participants With Treatment-Emergent Adverse Events
TESAE
14 Participants
17 Participants
Number of Participants With Treatment-Emergent Adverse Events
TEAE leading to discontinuation of study drug
12 Participants
18 Participants

PRIMARY outcome

Timeframe: UPA/UPA arm: BL visit in Lead-In M16-046 to last dose in Long-Term Extension M19-850 (median time on follow-up is 536 days); DUPI/UPA arm: BL visit in Long-Term Extension M19-850 to last dose plus a 30-day follow-up (median time on follow-up is 399 days).

Population: The Safety Population is the same as the ITT Population for this study. Safety summaries will include data collected from the first dose of updacitinib in Lead-In Study M16-046 or Study M19-850, whichever is earlier.

Treatment-emergent adverse events were monitored throughout the study to identify any adverse events of special interest that may indicate a trend or risk to participants. AESIs are defined as any adverse events that begin or worsen in severity after initiation of upadacitinib during Study M16-046 for the UPA/UPA arm or Study M19-850 for the DUPI/UPA arm through 30 days following the last dose of upadacitinib.

Outcome measures

Outcome measures
Measure
DUPI 300mg to UPA 30mg
n=239 Participants
All participants in this study received upadacitinib 30 mg once a day (QD). Participants were grouped by previous treatment in Lead-In Study M16-046. Participants who received dupilumab (DUPI) in Lead-In Study M16-046 are included in the DUPI 300 mg Q2W/UPA 30 mg QD (DUPI/UPA) group.
UPA 30mg to UPA 30mg
n=236 Participants
All participants in this study received upadacitinib 30 mg once a day (QD). Participants were grouped by previous treatment in Lead-In Study M16-046. Participants who received upadacitinib (UPA) in Lead-In Study M16-046 are included in the UPA 30 mg QD/UPA 30 mg QD (UPA/UPA) group.
Number of Participants With Treatment-Emergent Adverse Events of Special Interest (AESI)
Neutropenia
10 Participants
8 Participants
Number of Participants With Treatment-Emergent Adverse Events of Special Interest (AESI)
Serious infections
7 Participants
8 Participants
Number of Participants With Treatment-Emergent Adverse Events of Special Interest (AESI)
Opportunistic infection excluding Tuberculosis and Herpes Zoster
6 Participants
4 Participants
Number of Participants With Treatment-Emergent Adverse Events of Special Interest (AESI)
Malignancy
1 Participants
0 Participants
Number of Participants With Treatment-Emergent Adverse Events of Special Interest (AESI)
Non-melanoma skin cancer (NMSC)
0 Participants
0 Participants
Number of Participants With Treatment-Emergent Adverse Events of Special Interest (AESI)
Malignancy excluding NMSC
1 Participants
0 Participants
Number of Participants With Treatment-Emergent Adverse Events of Special Interest (AESI)
Lymphoma
0 Participants
0 Participants
Number of Participants With Treatment-Emergent Adverse Events of Special Interest (AESI)
Hepatic disorder
19 Participants
15 Participants
Number of Participants With Treatment-Emergent Adverse Events of Special Interest (AESI)
Adjudicated gastrointestinal perforations
0 Participants
0 Participants
Number of Participants With Treatment-Emergent Adverse Events of Special Interest (AESI)
Anemia
7 Participants
8 Participants
Number of Participants With Treatment-Emergent Adverse Events of Special Interest (AESI)
Lymphopenia
4 Participants
5 Participants
Number of Participants With Treatment-Emergent Adverse Events of Special Interest (AESI)
Herpes zoster
26 Participants
25 Participants
Number of Participants With Treatment-Emergent Adverse Events of Special Interest (AESI)
Creatine phosphokinase (CPK) elevation
31 Participants
44 Participants
Number of Participants With Treatment-Emergent Adverse Events of Special Interest (AESI)
Renal dysfunction
0 Participants
0 Participants
Number of Participants With Treatment-Emergent Adverse Events of Special Interest (AESI)
Active tuberculosis
0 Participants
1 Participants
Number of Participants With Treatment-Emergent Adverse Events of Special Interest (AESI)
Adjudicated MACE
0 Participants
0 Participants
Number of Participants With Treatment-Emergent Adverse Events of Special Interest (AESI)
Adjudicated VTE
0 Participants
0 Participants

PRIMARY outcome

Timeframe: From Baseline to 30 days following last dose of study drug (Week 52)

Population: The Safety Population is the same as the ITT Population for this study. Safety summaries will include data collected from the first dose of updacitinib in Lead-In Study M16-046 or Study M19-850, whichever is earlier.

Clinical laboratory test values are considered PCI if they meet either the lower-limit or higher-limit PCI criteria defined in the categories below. Percentage of participants with PCI laboratory values are summarized for hematology and chemistry. The Number Analyzed is defined as the number of participants with at least one post-baseline value for the specific criteria. Post-baseline grade must also be more extreme (worse) than the baseline grade in order to be included in the count. If a participant does not have a baseline value then the participant would be counted in the numerator if the participant had at least one post-baseline. xULN = Times upper limit of the normal range.

Outcome measures

Outcome measures
Measure
DUPI 300mg to UPA 30mg
n=239 Participants
All participants in this study received upadacitinib 30 mg once a day (QD). Participants were grouped by previous treatment in Lead-In Study M16-046. Participants who received dupilumab (DUPI) in Lead-In Study M16-046 are included in the DUPI 300 mg Q2W/UPA 30 mg QD (DUPI/UPA) group.
UPA 30mg to UPA 30mg
n=236 Participants
All participants in this study received upadacitinib 30 mg once a day (QD). Participants were grouped by previous treatment in Lead-In Study M16-046. Participants who received upadacitinib (UPA) in Lead-In Study M16-046 are included in the UPA 30 mg QD/UPA 30 mg QD (UPA/UPA) group.
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Lymphocytes(10^9/L): Grade 4 (<0.2)
0 percentage of participants
0.4 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Alanine Aminotransferase (U/L): Grade 3 or above
0.4 percentage of participants
0.4 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Aspartate Aminotransferase (U/L): Grade 4 (>20.0 xULN)
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Creatine Kinase (U/L): Grade 4 (>10.0 xULN)
3.8 percentage of participants
5.1 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Calcium Hyper (MMOL/L): Grade 3 (>3.1-3.4)
0 percentage of participants
0.4 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Calcium Hypo (MMOL/L): Grade 4 (<1.5)
0 percentage of participants
0.4 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Sodium Hyper (MMOL/L): Grade 4 (>160)
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Sodium Hypo (MMOL/L): Grade 4 (<120)
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Creatinine (UMOL/L): Grade 3 (>3.0-6.0 xULN OR >3.0 xBaseline)
0 percentage of participants
0.8 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Aspartate Aminotransferase (U/L): Grade 3 or above
0 percentage of participants
1.3 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Alkaline Phosphatase (U/L): Grade 3 (>5.0-20.0 xULN)
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Alkaline Phosphatase (U/L): Grade 4 (>20.0 xULN)
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Alkaline Phosphatase (U/L): Grade 3 or above
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Creatine Kinase (U/L): Grade 3 (>5.0-10.0 xULN)
4.2 percentage of participants
8.1 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Creatine Kinase (U/L): Grade 3 or above
8.0 percentage of participants
13.1 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Creatinine (UMOL/L): Grade 4 (>6.0 xULN)
0 percentage of participants
0.4 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Creatinine (UMOL/L): Grade 3 or above
0 percentage of participants
1.3 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Phosphate (MMOL/L): Grade 3 (0.3-<0.6)
1.7 percentage of participants
1.3 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Phosphate (MMOL/L): Grade 4 (<0.3)
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Phosphate (MMOL/L): Grade 3 or above
1.7 percentage of participants
1.3 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Calcium Hyper (MMOL/L): Grade 4 (>3.4)
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Calcium Hyper (MMOL/L): Grade 3 or above
0 percentage of participants
0.4 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Calcium Hypo (MMOL/L): Grade 3 (1.5-<1.75)
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Calcium Hypo (MMOL/L): Grade 3 or above
0 percentage of participants
0.4 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Sodium Hyper (MMOL/L): Grade 3 (>155-160)
0.5 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Sodium Hyper (MMOL/L): Grade 3 or above
0.5 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Sodium Hypo (MMOL/L): Grade 3 (120-<130)
0 percentage of participants
0.4 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Sodium Hypo (MMOL/L): Grade 3 or above
0 percentage of participants
0.4 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Potassium Hyper (MMOL/L): Grade 3 (>6.0-7.0)
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Potassium Hyper (MMOL/L): Grade 4 (>7.0)
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Potassium Hyper (MMOL/L): Grade 3 or above
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Potassium Hypo (MMOL/L): Grade 3 (2.5-<3.0)
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Potassium Hypo (MMOL/L): Grade 4 (<2.5)
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Potassium Hypo (MMOL/L): Grade 3 or above
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Glucose Hyper (MMOL/L): Grade 3 (>13.9-27.8)
1.3 percentage of participants
0.4 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Glucose Hyper (MMOL/L): Grade 4 (>27.8)
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Glucose Hyper (MMOL/L): Grade 3 or above
1.3 percentage of participants
0.4 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Glucose Hypo (MMOL/L): Grade 3 (1.7-<2.2)
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Glucose Hypo (MMOL/L): Grade 4 (<1.7)
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Glucose Hypo (MMOL/L): Grade 3 or above
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Albumin (G/L): Grade 3 (<20)
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Albumin (G/L): Grade 3 or above
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Cholesterol (MMOL/L): Grade 3 (10.34<-12.92)
1.3 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Cholesterol (MMOL/L): Grade 4 (>12.92)
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Cholesterol (MMOL/L): Grade 3 or above
1.3 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Triglycerides (MMOL/L): Grade 3 (>5.7-11.4)
3.4 percentage of participants
5.1 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Triglycerides (MMOL/L): Grade 4 (>11.4)
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Triglycerides (MMOL/L): Grade 3 or above
3.4 percentage of participants
5.1 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Hemoglobin (G/L): Grade 3 (<80)
0 percentage of participants
0.8 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Hemoglobin (G/L): Grade 3 or above
0 percentage of participants
0.8 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Platelets (10^9/L): Grade 3 (25-<50)
0 percentage of participants
0.4 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Platelets (10^9/L): Grade 4 (<25)
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Platelets (10^9/L): Grade 3 or above
0 percentage of participants
0.4 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Leukocytes (10^9/L): Grade 3 (1.0-<2.0)
0 percentage of participants
1.3 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Leukocytes (10^9/L): Grade 4 (<1.0)
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Leukocytes (10^9/L): Grade 3 or above
0 percentage of participants
1.3 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Neutrophils(10^9/L): Grade 3 (0.5-<1.0)
2.5 percentage of participants
3.4 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Neutrophils(10^9/L): Grade 4 (<0.5)
0.4 percentage of participants
0.4 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Neutrophils(10^9/L): Grade 3 or above
2.9 percentage of participants
3.8 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Lymphocytes(10^9/L): Grade 3 (0.2-<0.5)
0.8 percentage of participants
3.4 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Lymphocytes(10^9/L): Grade 3 or above
0.8 percentage of participants
3.8 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Alanine Aminotransferase (U/L): Grade 3 (>5.0-20.0 xULN)
0.4 percentage of participants
0.4 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Alanine Aminotransferase (U/L): Grade 4 (>20.0 xULN)
0 percentage of participants
0 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Laboratory Values as Assessed by the Investigator
Aspartate Aminotransferase (U/L): Grade 3 (>5.0-20.0 xULN)
0 percentage of participants
1.3 percentage of participants

PRIMARY outcome

Timeframe: From Baseline to 30 days following last dose of study drug (Week 52)

Population: The Safety Population is the same as the ITT Population for this study. Safety summaries will include data collected from the first dose of updacitinib in Lead-In Study M16-046 or Study M19-850, whichever is earlier.

PCI post-baseline vital sign values are summarized for categories: systolic and diastolic blood pressures \[sitting\], pulse rate \[sitting\], and weight. Only those categories where at least 1 person had a non-PCI value at Baseline and met the PCI criterion at least once during post-baseline are reported. The Number Analyzed is defined as the number of participants with at least one post-baseline value for the specific criteria. Post-baseline grade must also be more extreme (worse) than the baseline grade in order to be included in the count. If a participant does not have a baseline value then the participant would be counted in the numerator if the participant had at least one post-baseline.

Outcome measures

Outcome measures
Measure
DUPI 300mg to UPA 30mg
n=239 Participants
All participants in this study received upadacitinib 30 mg once a day (QD). Participants were grouped by previous treatment in Lead-In Study M16-046. Participants who received dupilumab (DUPI) in Lead-In Study M16-046 are included in the DUPI 300 mg Q2W/UPA 30 mg QD (DUPI/UPA) group.
UPA 30mg to UPA 30mg
n=236 Participants
All participants in this study received upadacitinib 30 mg once a day (QD). Participants were grouped by previous treatment in Lead-In Study M16-046. Participants who received upadacitinib (UPA) in Lead-In Study M16-046 are included in the UPA 30 mg QD/UPA 30 mg QD (UPA/UPA) group.
Percentage of Participants With Potentially Clinically Important (PCI) Vital Sign Measurements and Physical Examination Findings as Assessed by the Investigator
Sitting Systolic Blood Pressure (MMHG): ≤90 and ≥20 Decrease
0.4 percentage of participants
0.8 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Vital Sign Measurements and Physical Examination Findings as Assessed by the Investigator
Sitting Systolic Blood Pressure (MMHG): ≥160 and ≥20 Increase
2.5 percentage of participants
5.5 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Vital Sign Measurements and Physical Examination Findings as Assessed by the Investigator
Sitting Diastolic Blood Pressure (MMHG): ≤50 and ≥10 Decrease
0.4 percentage of participants
1.3 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Vital Sign Measurements and Physical Examination Findings as Assessed by the Investigator
Sitting Diastolic Blood Pressure (MMHG): ≥100 and ≥10 Increase
2.1 percentage of participants
9.3 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Vital Sign Measurements and Physical Examination Findings as Assessed by the Investigator
Sitting Pulse Rate (BEATS/MIN): ≤50 and ≥15 Decrease
1.7 percentage of participants
4.7 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Vital Sign Measurements and Physical Examination Findings as Assessed by the Investigator
Sitting Pulse Rate (BEATS/MIN): ≥120 and ≥15 Increase
0 percentage of participants
2.1 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Vital Sign Measurements and Physical Examination Findings as Assessed by the Investigator
Weight (KG): >7% Decrease
5.5 percentage of participants
7.6 percentage of participants
Percentage of Participants With Potentially Clinically Important (PCI) Vital Sign Measurements and Physical Examination Findings as Assessed by the Investigator
Weight (KG): >7% Increase
22.5 percentage of participants
39.0 percentage of participants

Adverse Events

UPA 30mg to UPA 30mg

Serious events: 13 serious events
Other events: 154 other events
Deaths: 1 deaths

DUPI 300mg to UPA 30mg

Serious events: 14 serious events
Other events: 149 other events
Deaths: 0 deaths

Total

Serious events: 27 serious events
Other events: 303 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
UPA 30mg to UPA 30mg
n=236 participants at risk
All participants in this study received upadacitinib 30 mg once a day (QD). Participants were grouped by previous treatment in Lead-In Study M16-046. Participants who received upadacitinib (UPA) in Lead-In Study M16-046 are included in the UPA 30 mg QD/UPA 30 mg QD (UPA/UPA) group.
DUPI 300mg to UPA 30mg
n=239 participants at risk
All participants in this study received upadacitinib 30 mg once a day (QD). Participants were grouped by previous treatment in Lead-In Study M16-046. Participants who received dupilumab (DUPI) in Lead-In Study M16-046 are included in the DUPI 300 mg Q2W/UPA 30 mg QD (DUPI/UPA) group.
Total
n=475 participants at risk
All participants in this study received upadacitinib 30 mg once a day (QD). Participants were grouped by previous treatment in Lead-In Study M16-046. Participants who received upadacitinib (UPA) in Lead-In Study M16-046 are included in the UPA 30 mg QD/UPA 30 mg QD (UPA/UPA) group and participants who received dupilumab (DUPI) in Lead-In Study M16-046 are included in the DUPI 300 mg Q2W/UPA 30 mg QD (DUPI/UPA) group.
Gastrointestinal disorders
PANCREATITIS
0.42%
1/236 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.00%
0/239 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.21%
1/475 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Immune system disorders
FOOD ALLERGY
0.42%
1/236 • Number of events 2 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.00%
0/239 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.21%
1/475 • Number of events 2 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Infections and infestations
ABSCESS JAW
0.00%
0/236 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.42%
1/239 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.21%
1/475 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Infections and infestations
APPENDICITIS
0.00%
0/236 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.42%
1/239 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.21%
1/475 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Infections and infestations
BONE TUBERCULOSIS
0.42%
1/236 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.00%
0/239 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.21%
1/475 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Infections and infestations
BULLOUS IMPETIGO
0.42%
1/236 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.00%
0/239 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.21%
1/475 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Infections and infestations
COVID-19
0.00%
0/236 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.42%
1/239 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.21%
1/475 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Infections and infestations
COVID-19 PNEUMONIA
1.3%
3/236 • Number of events 3 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.00%
0/239 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.63%
3/475 • Number of events 3 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Infections and infestations
ECZEMA HERPETICUM
0.42%
1/236 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.84%
2/239 • Number of events 2 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.63%
3/475 • Number of events 3 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Infections and infestations
ERYSIPELAS
0.00%
0/236 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.42%
1/239 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.21%
1/475 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Infections and infestations
GASTROENTERITIS VIRAL
0.00%
0/236 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.42%
1/239 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.21%
1/475 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Infections and infestations
PERICHONDRITIS
0.00%
0/236 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.42%
1/239 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.21%
1/475 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Infections and infestations
PILONIDAL DISEASE
0.42%
1/236 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.00%
0/239 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.21%
1/475 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Infections and infestations
PNEUMONIA
0.42%
1/236 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.00%
0/239 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.21%
1/475 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Infections and infestations
RESPIRATORY SYNCYTIAL VIRUS INFECTION
0.00%
0/236 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.42%
1/239 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.21%
1/475 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Injury, poisoning and procedural complications
FOOT FRACTURE
0.00%
0/236 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.42%
1/239 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.21%
1/475 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Investigations
HAEMOGLOBIN DECREASED
0.42%
1/236 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.00%
0/239 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.21%
1/475 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
PROSTATE CANCER
0.00%
0/236 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.42%
1/239 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.21%
1/475 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
UTERINE LEIOMYOMA
0.00%
0/236 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.84%
2/239 • Number of events 2 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.42%
2/475 • Number of events 2 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Nervous system disorders
HEADACHE
0.00%
0/236 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.42%
1/239 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.21%
1/475 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Reproductive system and breast disorders
ADNEXAL TORSION
0.00%
0/236 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.42%
1/239 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.21%
1/475 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Reproductive system and breast disorders
ENDOMETRIOSIS
0.42%
1/236 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.00%
0/239 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.21%
1/475 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Skin and subcutaneous tissue disorders
DERMATITIS ATOPIC
0.42%
1/236 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.42%
1/239 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.42%
2/475 • Number of events 2 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Surgical and medical procedures
ABORTION INDUCED
0.42%
1/236 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.00%
0/239 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.21%
1/475 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Vascular disorders
ESSENTIAL HYPERTENSION
0.42%
1/236 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.00%
0/239 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.21%
1/475 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.

Other adverse events

Other adverse events
Measure
UPA 30mg to UPA 30mg
n=236 participants at risk
All participants in this study received upadacitinib 30 mg once a day (QD). Participants were grouped by previous treatment in Lead-In Study M16-046. Participants who received upadacitinib (UPA) in Lead-In Study M16-046 are included in the UPA 30 mg QD/UPA 30 mg QD (UPA/UPA) group.
DUPI 300mg to UPA 30mg
n=239 participants at risk
All participants in this study received upadacitinib 30 mg once a day (QD). Participants were grouped by previous treatment in Lead-In Study M16-046. Participants who received dupilumab (DUPI) in Lead-In Study M16-046 are included in the DUPI 300 mg Q2W/UPA 30 mg QD (DUPI/UPA) group.
Total
n=475 participants at risk
All participants in this study received upadacitinib 30 mg once a day (QD). Participants were grouped by previous treatment in Lead-In Study M16-046. Participants who received upadacitinib (UPA) in Lead-In Study M16-046 are included in the UPA 30 mg QD/UPA 30 mg QD (UPA/UPA) group and participants who received dupilumab (DUPI) in Lead-In Study M16-046 are included in the DUPI 300 mg Q2W/UPA 30 mg QD (DUPI/UPA) group.
Infections and infestations
COVID-19
13.1%
31/236 • Number of events 34 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
13.4%
32/239 • Number of events 34 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
13.3%
63/475 • Number of events 68 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Infections and infestations
HERPES SIMPLEX
5.1%
12/236 • Number of events 13 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
3.3%
8/239 • Number of events 10 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
4.2%
20/475 • Number of events 23 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Infections and infestations
HERPES ZOSTER
8.1%
19/236 • Number of events 20 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
10.5%
25/239 • Number of events 25 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
9.3%
44/475 • Number of events 45 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Infections and infestations
NASOPHARYNGITIS
6.4%
15/236 • Number of events 23 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
10.9%
26/239 • Number of events 35 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
8.6%
41/475 • Number of events 58 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Infections and infestations
UPPER RESPIRATORY TRACT INFECTION
5.1%
12/236 • Number of events 13 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
5.9%
14/239 • Number of events 24 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
5.5%
26/475 • Number of events 37 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Investigations
BLOOD CREATINE PHOSPHOKINASE INCREASED
14.8%
35/236 • Number of events 47 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
13.0%
31/239 • Number of events 42 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
13.9%
66/475 • Number of events 89 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Metabolism and nutrition disorders
HYPERCHOLESTEROLAEMIA
5.5%
13/236 • Number of events 14 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
0.42%
1/239 • Number of events 1 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
2.9%
14/475 • Number of events 15 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Nervous system disorders
HEADACHE
6.4%
15/236 • Number of events 22 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
5.9%
14/239 • Number of events 16 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
6.1%
29/475 • Number of events 38 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Skin and subcutaneous tissue disorders
ACNE
22.9%
54/236 • Number of events 65 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
20.5%
49/239 • Number of events 53 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
21.7%
103/475 • Number of events 118 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Skin and subcutaneous tissue disorders
DERMATITIS ATOPIC
19.1%
45/236 • Number of events 61 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
12.6%
30/239 • Number of events 48 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
15.8%
75/475 • Number of events 109 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Skin and subcutaneous tissue disorders
ECZEMA
5.9%
14/236 • Number of events 32 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
5.4%
13/239 • Number of events 17 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
5.7%
27/475 • Number of events 49 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
Vascular disorders
HYPERTENSION
5.9%
14/236 • Number of events 14 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
1.7%
4/239 • Number of events 4 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.
3.8%
18/475 • Number of events 18 • All-cause mortality and adverse event tables include treatment-emergent events reported from the time of informed consent to end of study in M19-850 (52 weeks of treatment plus a 30 day follow-up after last dose). The median time on follow-up was 398 & 399 days for UPA/UPA & DUPI/UPA, respectively.

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