Efficacy of Dupilumab Added to Medium Dose Inhaled Corticosteroid/Long-acting Beta-agonist (ICS/LABA) in Comparison to ICS Dose Escalation to High Dose ICS/LABA in Adolescent and Adult Patients With Uncontrolled Asthma

NCT ID: NCT06572228

Last Updated: 2025-12-22

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

PHASE4

Total Enrollment

250 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-26

Study Completion Date

2026-12-31

Brief Summary

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This study is researching a drug called dupilumab. The study is focused on patients who have uncontrolled asthma. Asthma is a condition where the airways narrow and swell, making it difficult to breathe. Uncontrolled asthma means that patients are still having frequent symptoms while taking their current asthma medication.

The aim of the study is to see which regimen is more effective: taking dupilumab with an inhaled asthma medication or only taking a higher dose of the inhaled asthma medication. The type of asthma medication that will be used is a combination inhaled corticosteroid and long-acting beta-agonist (referred to as an ICS/LABA). Some patients may also receive an additional asthma medication called a long-acting muscarinic antagonist (referred to as a LAMA) if they are already receiving a LAMA.

The study is also looking at:

• What side effects may happen from taking dupilumab

Detailed Description

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This study is a Phase 3b in Canada Minors will not be enrolled in Denmark

Conditions

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Asthma

Keywords

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Uncontrolled Severe exacerbations Type 2 Inflammation Elevated blood eosinophils Increased Fractional exhaled Nitric Oxide (FeNO) Atopy and elevated Immunoglobulin E (IgE)

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 + ICS/LABA

Randomized 1:1

Group Type EXPERIMENTAL

dupilumab

Intervention Type DRUG

Administered by subcutaneous (SC) injection

ICS/LABA

Intervention Type DRUG

Administered at a blinded dose

Placebo + ICS/LABA

Randomized 1:1

Group Type PLACEBO_COMPARATOR

Matching Placebo

Intervention Type DRUG

Administered by SC injection

ICS/LABA

Intervention Type DRUG

Administered at a blinded dose

Interventions

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dupilumab

Administered by subcutaneous (SC) injection

Intervention Type DRUG

Matching Placebo

Administered by SC injection

Intervention Type DRUG

ICS/LABA

Administered at a blinded dose

Intervention Type DRUG

Other Intervention Names

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Dupixent® REGN668 SAR231893 fluticasone propionate/salmeterol HFA inhalation aerosol

Eligibility Criteria

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Inclusion Criteria

1. Diagnosis of asthma for ≥12 months, based on the Global Initiative for Asthma (GINA) 2023 guidance document
2. Existing treatment with medium dose ICS/LABA (\>250 to 500 μg/day of fluticasone propionate DPI or equivalent, per GINA 2023 guidance document) for at least 3 months with a stable dose ≥1 month prior to visit 1
3. Participants requiring a maximum of 3 controllers for their asthma will be considered eligible for this study
4. Pre-bronchodilator FEV1, as defined in the protocol
5. Reversibility of at least 12% and 200 mL in FEV1 after the administration of 200 to 400 μg albuterol/salbutamol at screening OR a documented history of ≥20% reduction in the FEV1, as defined in the protocol
6. Demonstrated adherence to medium dose ICS/LABA on at least 80% of days during the run-in period
7. ACQ-5 score ≥1.5 at screening (visit 1)
8. History of ≥1 severe exacerbation(s) in the previous year before visit 1, but not in the 30 days immediately preceding visit 1
9. Biomarker criteria: Baseline blood eosinophil count ≥300 cells/μL at visit 1 (\~90% of population), as defined in the protocol

Exclusion Criteria

1. Diagnosis of chronic obstructive pulmonary disease (COPD) or other lung diseases which may impair lung function and interfere with treatment assessments
2. Clinical evidence of lung disease(s) other than asthma or imaging (Chest X-ray, computed tomography (CT), magnetic resonance imaging \[MRI\]) with significant findings within 12 months of visit 1 and up to and including the baseline visit (visit 3)
3. A participant who experiences a severe asthma exacerbation at any time from 1 month prior to the screening visit (visit 1) up to and including the baseline visit (visit 3), as defined in the protocol
4. Weight is less than 30 kilograms
5. Current smoker or cessation of smoking within 6 months prior to visit 1 or previous smoker with a smoking history ≥10 pack-years
6. Severe concomitant illness(es) that, in the Investigator's judgment, would adversely affect the participant's participation in the study, as defined in the protocol
7. Participants cannot be on systemic corticosteroids at any time from 1 month prior to the screening visit (visit 1) through the duration of the run-in period
Minimum Eligible Age

12 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role collaborator

Regeneron Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trial Management

Role: STUDY_DIRECTOR

Regeneron Pharmaceuticals

Locations

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Kern Research, Inc

Bakersfield, California, United States

Site Status RECRUITING

Modena Allergy & Asthma, Inc.

La Jolla, California, United States

Site Status RECRUITING

Antelope Valley Clinical Trials

Lancaster, California, United States

Site Status RECRUITING

Ark Clinical Research - Long Beach

Long Beach, California, United States

Site Status RECRUITING

Newport Native Md, Inc.

Newport Beach, California, United States

Site Status RECRUITING

Childrens Hospital of Orange County Main Campus

Orange, California, United States

Site Status RECRUITING

Riviera Allergy Medical Center

Redondo Beach, California, United States

Site Status WITHDRAWN

Raffi Tachdjian MD, Inc.

Santa Monica, California, United States

Site Status RECRUITING

Bensch Clinical Research

Stockton, California, United States

Site Status RECRUITING

Integrated Research of Inland, Inc.

Upland, California, United States

Site Status RECRUITING

Allianz Research Institute

Westminster, California, United States

Site Status RECRUITING

National Jewish Health

Denver, Colorado, United States

Site Status RECRUITING

St Francis Medical Institute

Clearwater, Florida, United States

Site Status RECRUITING

Florida Lung, Asthma and Sleep Specialists (FLASS) - Celebration

Kissimmee, Florida, United States

Site Status RECRUITING

Clinical Site Partners, LLC DBA Flourish Research

Winter Park, Florida, United States

Site Status RECRUITING

Treasure Valley Medical Research

Boise, Idaho, United States

Site Status RECRUITING

Northwestern University

Chicago, Illinois, United States

Site Status RECRUITING

Sneeze Wheeze and Itch Associates

Normal, Illinois, United States

Site Status RECRUITING

Asthma and Allergy Center of Chicago

River Forest, Illinois, United States

Site Status RECRUITING

NorthShore University Health System

Skokie, Illinois, United States

Site Status RECRUITING

University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status RECRUITING

Bluegrass Allergy Research

Lexington, Kentucky, United States

Site Status RECRUITING

Family Allergy and Asthma Research Institute

Louisville, Kentucky, United States

Site Status RECRUITING

Allergy & Asthma Specialists, P.S.C.

Owensboro, Kentucky, United States

Site Status RECRUITING

Paul A. Shapero, M.D.

Bangor, Maine, United States

Site Status RECRUITING

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Michigan Medicine

Ann Arbor, Michigan, United States

Site Status RECRUITING

Henry Ford Health System

Detroit, Michigan, United States

Site Status RECRUITING

Allergy and Asthma Center of Minnesota

Maplewood, Minnesota, United States

Site Status WITHDRAWN

Clinical Research Institute, Inc.

Minneapolis, Minnesota, United States

Site Status RECRUITING

Washington University School of Medicine

St Louis, Missouri, United States

Site Status RECRUITING

Montana Medical Research

Missoula, Montana, United States

Site Status RECRUITING

The Asthma and Allergy Center

Bellevue, Nebraska, United States

Site Status RECRUITING

Henderson Clinical Trials

Henderson, Nevada, United States

Site Status RECRUITING

Certified Research Associates

Cortland, New York, United States

Site Status RECRUITING

New York Medical College

Hawthorne, New York, United States

Site Status RECRUITING

Northwell Health at ENT & Allergy Associates

New York, New York, United States

Site Status RECRUITING

Rochester Regional Health - Alexander Park - Allergy, Immunology & Rheumatology

Rochester, New York, United States

Site Status RECRUITING

Cincinnati Childrens Hospital and Medical Center

Cincinnati, Ohio, United States

Site Status RECRUITING

Allergy Asthma and Clinical Research Center

Oklahoma City, Oklahoma, United States

Site Status RECRUITING

Clinical Research Associates of Central PA

DuBois, Pennsylvania, United States

Site Status COMPLETED

University of Pittsburgh Asthma and Environmental Health Lung Institute

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

Pulmonology Associates Inc.

Wynnewood, Pennsylvania, United States

Site Status RECRUITING

Dharma MD PA d/b/a Southwest Family Medicine Associates

Dallas, Texas, United States

Site Status RECRUITING

Premier Pulmonary Critical Care and Sleep Medicine

Denison, Texas, United States

Site Status RECRUITING

Western Sky Medical Research

El Paso, Texas, United States

Site Status RECRUITING

Baylor College of Medicine - Section of Pulmonary and Critical Care

Houston, Texas, United States

Site Status RECRUITING

Texas Children's Hospital

Houston, Texas, United States

Site Status RECRUITING

Metroplex Pulmonary and Sleep Center, PA

McKinney, Texas, United States

Site Status RECRUITING

Lung Sleep Research Institute

North Richland Hills, Texas, United States

Site Status RECRUITING

South Texas Allergy & Asthma Medical Professionals (STAAMP) Research

San Antonio, Texas, United States

Site Status RECRUITING

Allergy & Asthma Care of Waco

Waco, Texas, United States

Site Status RECRUITING

Intermountain Medical Center - Murray (Pulmonary Medicine)

Murray, Utah, United States

Site Status RECRUITING

Inova Fairfax Hospital

Falls Church, Virginia, United States

Site Status RECRUITING

Vancouver Clinic

Vancouver, Washington, United States

Site Status WITHDRAWN

The Lung Centre at Vancouver General Hospital

Vancouver, British Columbia, Canada

Site Status RECRUITING

Dynamic Drug Advancement Ltd.

Ajax, Ontario, Canada

Site Status RECRUITING

Evidence Based Medical Educator Inc.

Toronto, Ontario, Canada

Site Status RECRUITING

Inspiration Research Limited

Toronto, Ontario, Canada

Site Status RECRUITING

Dr. Syed Anees Medicine Professional Corporation

Windsor, Ontario, Canada

Site Status RECRUITING

Institut Universitare de Cardiologie et de Pneumologie de Quebec (IUCPQ) - Universite Laval

Québec, , Canada

Site Status RECRUITING

Clinique de Specialisee en Allergie de la Capitale

Québec, , Canada

Site Status RECRUITING

Copenhagen University Hospital - Hvidovre

Hvidovre, Capital Region, Denmark

Site Status RECRUITING

Vejle Sygehus

Vejle, Region Syddanmark, Denmark

Site Status RECRUITING

Praxis fur Pneumologie am Duako

Augsburg, Bavaria, Germany

Site Status RECRUITING

LMU University Hospital Munich

Munich, Bavaria, Germany

Site Status RECRUITING

IKF Pneumologie Frankfurt GmbH & Co KG

Frankfurt am Main, Hesse, Germany

Site Status RECRUITING

KPPK Studienzentrum

Koblenz, Rhineland-Palatinate, Germany

Site Status RECRUITING

Velocity Clinical Research Lubeck GmbH (Formerly KLB Gesundheitsforschung Lübeck GmbH)

Lübeck, Schleswig-Holstein, Germany

Site Status RECRUITING

Lungenpraxis Hohenzollerndamm RCMS

Berlin, , Germany

Site Status RECRUITING

POIS Sachsen GmbH iG

Leipzig, , Germany

Site Status RECRUITING

IKF Pneumologie GmbH & Co. KG

Mainz, , Germany

Site Status RECRUITING

Centrum Medyczne All-Med

Krakow, Lesser Poland Voivodeship, Poland

Site Status RECRUITING

Michał Bogacki - DOBROSTAN

Wroclaw, Lower Silesian Voivodeship, Poland

Site Status RECRUITING

Diamond Clinic sp zoo

Krakow, Malopolska, Poland

Site Status RECRUITING

European Trial Group (ETG) Warsaw

Warsaw, Mazovian, Poland

Site Status RECRUITING

Centrum Medycyny Oddechowej Mroz SJ

Bialystok, Podlaskie Voivodeship, Poland

Site Status RECRUITING

Allergy Clinic NZOZ Homeo Medicus

Bialystok, Podlaskie Voivodeship, Poland

Site Status RECRUITING

Uniwersyteckie Centrum Kliniczne, Budynek Centrum Medycyny Nieinwazyjnej

Gdansk, Pomeranian Voivodeship, Poland

Site Status RECRUITING

Lekarze Specjaliści Małolepszy i Partnerzy

Wroclaw, , Poland

Site Status RECRUITING

ALL-MED Specjalistyczna Opieka Medyczna Medyczny Instytut Badawczy

Wroclaw, , Poland

Site Status RECRUITING

Allianze pulmonary Research

Guaynabo, , Puerto Rico

Site Status RECRUITING

Fundacion de Investigacion (FDI) Clinical Research

San Juan, , Puerto Rico

Site Status RECRUITING

PRCCI Clinical Research Center

San Juan, , Puerto Rico

Site Status RECRUITING

Countries

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United States Canada Denmark Germany Poland Puerto Rico

Central Contacts

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Clinical Trials Administrator

Role: CONTACT

Phone: 844-734-6643

Email: [email protected]

Other Identifiers

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2023-510458-18-00

Identifier Type: CTIS

Identifier Source: secondary_id

R668-AS-2373

Identifier Type: -

Identifier Source: org_study_id