Dupilmuab for Atopic Dermatitis Monitored With Noninvasive Imaging.

NCT ID: NCT05265234

Last Updated: 2022-03-03

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-01

Study Completion Date

2024-03-01

Brief Summary

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The study is trying to answer the following question: "Can we use non-invasive imaging to evaluate the response of atopic dermatitis (eczema) to Dupixent (dupilumab)?"

Detailed Description

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Participating in this research will allow the subject to undergo a noninvasive imaging alternative to conventional monitoring in response to a biologic. Normally, subjects would undergo a clinical examination, serial photography, and possible biopsies to assess the progression of the disease. This study will get rid of the need for a biopsy but will require multiple scans with non-invasive imaging. This research examines a new approach to monitoring response to a biologic drug used for atopic dermatitis, and can also, be used to grade disease severity without the need for a biopsy.

Conditions

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Eczema Atopic Dermatitis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Single Group Assignment
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dupixent

Patients will receive initial dose of 600 mg (two 300 mg injections in different injection sites), followed by 300 mg given every other week for 16 weeks.

Patients will self-administer by subcutaneous injection at home, instructions will be provided at first visit.

Group Type EXPERIMENTAL

Dupilumab

Intervention Type DRUG

IL-4 antagonist to improve moderate-severe atopic dermatitis

Optical Coherence Tomography

Intervention Type DEVICE

OCT is a noninvasive imaging device that can be used to monitor inflammatory skin disorders.

Reflectance confocal microscopy

Intervention Type DEVICE

RCM is a noninvasive imaging device, with resolution approaching that of histology, which can monitor structural changes in the epidermis and superficial dermis, monitor inflammatory cells, and can overcome the limitations of a traditional biopsy.

Interventions

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Dupilumab

IL-4 antagonist to improve moderate-severe atopic dermatitis

Intervention Type DRUG

Optical Coherence Tomography

OCT is a noninvasive imaging device that can be used to monitor inflammatory skin disorders.

Intervention Type DEVICE

Reflectance confocal microscopy

RCM is a noninvasive imaging device, with resolution approaching that of histology, which can monitor structural changes in the epidermis and superficial dermis, monitor inflammatory cells, and can overcome the limitations of a traditional biopsy.

Intervention Type DEVICE

Other Intervention Names

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Dupixent OCT RCM

Eligibility Criteria

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Inclusion Criteria

* ≥18 years of age
* Atopic dermatitis (AD) affecting ≥10% body surface area (BSA) at baseline
* IGA score ≥3, on the IGA scale of 0-4 at baseline
* Eczema Area and Severity Index (EASI) score of ≥16 at baseline

Exclusion Criteria

* Prior treatment with Dupilumab (REGN668/SAR231893)
* Treatment with TCS or topical calcineurin inhibitors (TCI) within 2 weeks before the baseline visit
* Bodyweight \<30 kg (65lb) at Baseline
* Known or suspected immunodeficiency including human immunodeficiency virus (HIV) infection
* Pregnancy, breastfeeding or planning to become pregnant or breastfeed during the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Regeneron Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

OptiSkin Medical

OTHER

Sponsor Role lead

Responsible Party

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Orit Markowitz MD

Medical Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Orit Markowitz, MD

Role: PRINCIPAL_INVESTIGATOR

Medical Director

Locations

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OptiSkin Medical

New York, New York, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Moshe Bressler, DO

Role: CONTACT

212-828-3120

Orit Markowitz, MD

Role: CONTACT

212-828-3120

Facility Contacts

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Moshe Bressler, DO

Role: primary

212-828-3120

References

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Leung DY, Guttman-Yassky E. Deciphering the complexities of atopic dermatitis: shifting paradigms in treatment approaches. J Allergy Clin Immunol. 2014 Oct;134(4):769-79. doi: 10.1016/j.jaci.2014.08.008.

Reference Type BACKGROUND
PMID: 25282559 (View on PubMed)

Simpson EL, Bieber T, Guttman-Yassky E, Beck LA, Blauvelt A, Cork MJ, Silverberg JI, Deleuran M, Kataoka Y, Lacour JP, Kingo K, Worm M, Poulin Y, Wollenberg A, Soo Y, Graham NM, Pirozzi G, Akinlade B, Staudinger H, Mastey V, Eckert L, Gadkari A, Stahl N, Yancopoulos GD, Ardeleanu M; SOLO 1 and SOLO 2 Investigators. Two Phase 3 Trials of Dupilumab versus Placebo in Atopic Dermatitis. N Engl J Med. 2016 Dec 15;375(24):2335-2348. doi: 10.1056/NEJMoa1610020. Epub 2016 Sep 30.

Reference Type BACKGROUND
PMID: 27690741 (View on PubMed)

Meinke MC, Richter H, Kleemann A, Lademann J, Tscherch K, Rohn S, Schempp CM. Characterization of atopic skin and the effect of a hyperforin-rich cream by laser scanning microscopy. J Biomed Opt. 2015 May;20(5):051013. doi: 10.1117/1.JBO.20.5.051013.

Reference Type BACKGROUND
PMID: 25467783 (View on PubMed)

Byers RA, Maiti R, Danby SG, Pang EJ, Mitchell B, Carre MJ, Lewis R, Cork MJ, Matcher SJ. Sub-clinical assessment of atopic dermatitis severity using angiographic optical coherence tomography. Biomed Opt Express. 2018 Mar 29;9(4):2001-2017. doi: 10.1364/BOE.9.002001. eCollection 2018 Apr 1.

Reference Type BACKGROUND
PMID: 29675335 (View on PubMed)

Tang TS, Bieber T, Williams HC. Are the concepts of induction of remission and treatment of subclinical inflammation in atopic dermatitis clinically useful? J Allergy Clin Immunol. 2014 Jun;133(6):1615-25.e1. doi: 10.1016/j.jaci.2013.12.1079. Epub 2014 Mar 18.

Reference Type BACKGROUND
PMID: 24655575 (View on PubMed)

Related Links

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Other Identifiers

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OPTI-003

Identifier Type: -

Identifier Source: org_study_id

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