Efficacy and Safety of Subcutaneous Dupilumab for the Treatment of Adult Participants With Chronic Pruritus of Unknown Origin (CPUO) (LIBERTY-CPUO-CHIC)

NCT ID: NCT05263206

Last Updated: 2025-12-17

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

284 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-15

Study Completion Date

2027-08-25

Brief Summary

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The main objective of the study is to assess efficacy and safety of dupilumab given up to 24 weeks in adults with CPUO.

This is a master protocol which includes 2 parallel-treatment, double-blind, 2- arm Phase 3 staggered studies of similar design (Study A and Study B) in male and female participants aged 18 to 90 years with CPUO. Study B design was to be adapted based on the results of Study A.

For both Study A and B, after an up-to-4-week screening period, participants with severe pruritus (worst-itch numerical rating scale \[WI-NRS ≥7) will enter a 4-week run-in period and will be treated with a non-sedative antihistamine and an emollient (moisturizer). Participants with severe pruritus (WI-NRS ≥7) at baseline will be randomized (1:1) to be treated for 24 weeks with either dupilumab or matching placebo in addition to their non-sedative antihistamine and emollient regimen. The treatment period for both study A and B will be followed by a 12-week follow-up period.

Detailed Description

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Study duration per participant will be up to 44 weeks for both Study A and Study B.

Conditions

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Pruritus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Dupilumab

Loading dose administered subcutaneous (SC), followed by SC once every 2 weeks (Q2W) on top of non-sedative antihistamine and moisturizer

Group Type EXPERIMENTAL

Dupilumab

Intervention Type DRUG

Injection solution subcutaneous

Fexofenadine (loratadine if not available)

Intervention Type DRUG

Tablet or capsule Oral

Placebo

Loading dose administered SC, followed by SC Q2W on top of non-sedative antihistamine and moisturizer

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Injection solution SC

Fexofenadine (loratadine if not available)

Intervention Type DRUG

Tablet or capsule Oral

Interventions

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Dupilumab

Injection solution subcutaneous

Intervention Type DRUG

Placebo

Injection solution SC

Intervention Type DRUG

Fexofenadine (loratadine if not available)

Tablet or capsule Oral

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participant must be 18 (or the legal age of consent in the jurisdiction in which the study is taking place) to 90 years of age inclusive, at the time of signing the informed consent.
* Participants with chronic pruritus for at least 6 months before the screening visit.
* Chronic pruritus considered of unknown origin as assessed by the investigator at baseline (excluding chronic pruritus secondary to dermatological or systemic conditions, of neuropathic or psychogenic origin or secondary to drugs).
* Chronic pruritus must affect at least 2 of the following body areas: legs, arms, or trunk.
* History of insufficient control of the chronic pruritus with prior treatment.
* Participants should receive optimal treatment for concomitant conditions that could impact pruritus (eg, diabetes, iron deficiency).
* Participants must have a history of severe itch and a worst itch score of ≥7 at screening on the WI-NRS (score scale ranges from 0 to 10; higher score indicates worse itch) and Patient Global Impression of Severity (PGIS) of pruritus scored "severe" at screening.
* Participants must have an average worst itch score of ≥7 in the 7 days prior to run-in visit and in the 7 days prior to Day 1 on the WI-NRS.
* Participants scored "severe" in the PGIS of pruritus on Day 1.

Exclusion Criteria

Participants are excluded from the study if any of the following criteria apply:

* Severe concomitant illness(es) that, in the Investigator's judgment, would adversely affect the patient's participation in the study.
* Patients with active tuberculosis or non-tuberculous mycobacterial infection, or a history of incompletely treated tuberculosis, unless it is well documented by a specialist that the participant has been adequately treated and can now start treatment with a biologic agent.
* Diagnosed with, suspected of, or at high risk of endoparasitic infection, and/or use of antiparasitic drug within 2 weeks before the screening visit.
* HIV infection.
* Severe renal failure (dialysis).
* Active chronic or acute infection requiring treatment with systemic antibiotics, antivirals, or antifungals within 2 weeks before the run-in visit.
* Known or suspected immunodeficiency.
* Active malignancy or history of malignancy within 5 years before the baseline visit, except completely treated in situ carcinoma of the cervix and completely treated and resolved non metastatic squamous or basal cell carcinoma of the skin.
* History of hypersensitivity or intolerance to non-sedative antihistamines.
* Participation in prior dupilumab clinical study or have been treated with commercially available dupilumab.

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

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Kern Allergy and Medical Research- Site Number : 8400016

Bakersfield, California, United States

Site Status COMPLETED

Modena Allergy + Asthma- Site Number : 8400038

La Jolla, California, United States

Site Status RECRUITING

FoxHall Dermatology- Site Number : 8400042

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

Site Status RECRUITING

Palm Harbor Dermatology- Site Number : 8400024

Belleair, Florida, United States

Site Status RECRUITING

University of Miami Hospital- Site Number : 8400011

Miami, Florida, United States

Site Status RECRUITING

Skin Care Physicians of Georgia - Macon- Site Number : 8400030

Macon, Georgia, United States

Site Status RECRUITING

Aeroallergy Research Laboratory- Site Number : 8400036

Savannah, Georgia, United States

Site Status RECRUITING

Dawes Fretzin Clinical Research- Site Number : 8400007

Indianapolis, Indiana, United States

Site Status RECRUITING

Dermatology Specialists Research (DS Research) - Kentucky- Site Number : 8400031

Louisville, Kentucky, United States

Site Status RECRUITING

Tulane University Health Sciences Center- Site Number : 8400045

New Orleans, Louisiana, United States

Site Status RECRUITING

Johns Hopkins Hospital- Site Number : 8400020

Baltimore, Maryland, United States

Site Status RECRUITING

The Asthma and Allergy Center- Site Number : 8400014

Bellevue, Nebraska, United States

Site Status RECRUITING

Icahn School of Medicine at Mount Sinai- Site Number : 8400034

New York, New York, United States

Site Status RECRUITING

AXIS Clinicals - Fargo- Site Number : 8400037

Fargo, North Dakota, United States

Site Status RECRUITING

Optima Research - Boardman- Site Number : 8400039

Boardman, Ohio, United States

Site Status RECRUITING

Columbia Dermatology & Aesthetics- Site Number : 8400047

Columbia, South Carolina, United States

Site Status RECRUITING

National Allergy and Asthma - North Charleston - Northside Drive- Site Number : 8400032

North Charleston, South Carolina, United States

Site Status RECRUITING

Complete Dermatology - Sugar Land- Site Number : 8400046

Sugar Land, Texas, United States

Site Status RECRUITING

Investigational Site Number : 0320004

Rosario, Santa Fe Province, Argentina

Site Status COMPLETED

Investigational Site Number : 0320008

Rosario, Santa Fe Province, Argentina

Site Status RECRUITING

Investigational Site Number : 0320005

Buenos Aires, , Argentina

Site Status COMPLETED

Investigational Site Number : 0320001

Buenos Aires, , Argentina

Site Status COMPLETED

Investigational Site Number : 0320006

Buenos Aires, , Argentina

Site Status COMPLETED

Investigational Site Number : 0320007

Buenos Aires, , Argentina

Site Status RECRUITING

Investigational Site Number : 0320002

Buenos Aires, , Argentina

Site Status COMPLETED

Investigational Site Number : 0320003

Buenos Aires, , Argentina

Site Status COMPLETED

Investigational Site Number : 1240001

Calgary, Alberta, Canada

Site Status RECRUITING

Investigational Site Number : 1240008

Edmonton, Alberta, Canada

Site Status COMPLETED

Investigational Site Number : 1240002

London, Ontario, Canada

Site Status RECRUITING

Investigational Site Number : 1240003

Markham, Ontario, Canada

Site Status COMPLETED

Investigational Site Number : 1240006

Toronto, Ontario, Canada

Site Status RECRUITING

Investigational Site Number : 1240005

Montreal, Quebec, Canada

Site Status COMPLETED

Investigational Site Number : 1240004

Verdun, Quebec, Canada

Site Status RECRUITING

Investigational Site Number : 1560003

Beijing, , China

Site Status RECRUITING

Investigational Site Number : 1560004

Chengdu, , China

Site Status RECRUITING

Investigational Site Number : 1560009

Chongqing, , China

Site Status RECRUITING

Investigational Site Number : 1560006

Guangzhou, , China

Site Status RECRUITING

Investigational Site Number : 1560005

Guangzhou, , China

Site Status RECRUITING

Investigational Site Number : 1560002

Hangzhou, , China

Site Status RECRUITING

Investigational Site Number : 1560001

Shanghai, , China

Site Status RECRUITING

Investigational Site Number : 1560011

Suzhou, , China

Site Status RECRUITING

Investigational Site Number : 1560008

Wuhan, , China

Site Status RECRUITING

Investigational Site Number : 2760002

Berlin, , Germany

Site Status RECRUITING

Investigational Site Number : 2760003

Mainz, , Germany

Site Status RECRUITING

Investigational Site Number : 3480001

Budapest, , Hungary

Site Status RECRUITING

Investigational Site Number : 3480009

Budapest, , Hungary

Site Status RECRUITING

Investigational Site Number : 3480005

Debrecen, , Hungary

Site Status RECRUITING

Investigational Site Number : 3480003

Szeged, , Hungary

Site Status RECRUITING

Investigational Site Number : 3480002

Zalaegerszeg, , Hungary

Site Status RECRUITING

Investigational Site Number : 3800004

Torette, Ancona, Italy

Site Status RECRUITING

Investigational Site Number : 3800007

Cona, Ferrara, Italy

Site Status RECRUITING

Investigational Site Number : 3800005

Florence, Firenze, Italy

Site Status RECRUITING

Investigational Site Number : 3800003

Milan, Milano, Italy

Site Status RECRUITING

Investigational Site Number : 3800002

Rozzano, Milano, Italy

Site Status RECRUITING

Investigational Site Number : 3800006

Naples, Napoli, Italy

Site Status RECRUITING

Investigational Site Number : 3800001

Rome, Roma, Italy

Site Status RECRUITING

Investigational Site Number : 3920007

Urayasu, Chiba, Japan

Site Status RECRUITING

Investigational Site Number : 3920003

Obihiro, Hokkaido, Japan

Site Status RECRUITING

Investigational Site Number : 3920006

Sapporo, Hokkaido, Japan

Site Status RECRUITING

Investigational Site Number : 3920004

Habikino, Osaka, Japan

Site Status RECRUITING

Investigational Site Number : 3920002

Sakai, Osaka, Japan

Site Status RECRUITING

Investigational Site Number : 3920005

Izumo, Shimane, Japan

Site Status RECRUITING

Investigational Site Number : 3920001

Tachikawa, Tokyo, Japan

Site Status RECRUITING

Investigational Site Number : 6160001

Krakow, Lesser Poland Voivodeship, Poland

Site Status RECRUITING

Investigational Site Number : 6160007

Wroclaw, Lower Silesian Voivodeship, Poland

Site Status RECRUITING

Investigational Site Number : 6160003

Wroclaw, Lower Silesian Voivodeship, Poland

Site Status ACTIVE_NOT_RECRUITING

Investigational Site Number : 6160003

Wroclaw, Lower Silesian Voivodeship, Poland

Site Status RECRUITING

Investigational Site Number : 6160008

Warsaw, Masovian Voivodeship, Poland

Site Status RECRUITING

Investigational Site Number : 6160005

Warsaw, Masovian Voivodeship, Poland

Site Status RECRUITING

Investigational Site Number : 4100003

Busan, Busan, South Korea

Site Status COMPLETED

Investigational Site Number : 4100004

Ansan-si, Gyeonggi-do, South Korea

Site Status COMPLETED

Investigational Site Number : 4100005

Seoul, Seoul-teukbyeolsi, South Korea

Site Status COMPLETED

Investigational Site Number : 4100002

Seoul, Seoul-teukbyeolsi, South Korea

Site Status COMPLETED

Investigational Site Number : 4100006

Seoul, Seoul-teukbyeolsi, South Korea

Site Status RECRUITING

Investigational Site Number : 4100001

Seoul, Seoul-teukbyeolsi, South Korea

Site Status COMPLETED

Investigational Site Number : 4100007

Seoul, Seoul-teukbyeolsi, South Korea

Site Status RECRUITING

Investigational Site Number : 7240003

Barcelona, Barcelona [Barcelona], Spain

Site Status RECRUITING

Investigational Site Number : 7240006

Barcelona, Catalunya [Cataluña], Spain

Site Status RECRUITING

Investigational Site Number : 7240001

Pontevedra, Pontevedra [Pontevedra], Spain

Site Status RECRUITING

Investigational Site Number : 7240005

Alicante, , Spain

Site Status RECRUITING

Investigational Site Number : 7240004

Córdoba, , Spain

Site Status RECRUITING

Investigational Site Number : 1580003

Kaohsiung City, , Taiwan

Site Status RECRUITING

Investigational Site Number : 1580004

New Taipei City, , Taiwan

Site Status RECRUITING

Investigational Site Number : 1580001

Taipei, , Taiwan

Site Status RECRUITING

Investigational Site Number : 1580002

Taoyuan, , Taiwan

Site Status RECRUITING

Countries

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United States Argentina Canada China Germany Hungary Italy Japan Poland South Korea Spain Taiwan

Central Contacts

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Trial Transparency email recommended (Toll free number for US & Canada)

Role: CONTACT

800-633-1610 ext. option 6

Related Links

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https://www.chic-clinicaltrial.com/

EFC16973 Chronic Pruritus of Unknown Origin Website

Other Identifiers

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U1111-1253-9888

Identifier Type: REGISTRY

Identifier Source: secondary_id

2023-508879-36-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

2023-508879-36

Identifier Type: REGISTRY

Identifier Source: secondary_id

2021-004315-76

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

EFC16973

Identifier Type: -

Identifier Source: org_study_id