Safety and Tolerability of Dupilumab in Participants With Moderate to Severe Atopic Dermatitis
A Randomized, Double-Blind, Placebo-Controlled, Sequential Ascending, Repeated-Dose Study of the Safety, Tolerability, and Pharmacokinetics of Subcutaneous REGN668 in Patients With Moderate-to-Severe Atopic Dermatitis
1 other identifier
interventional
37
3 countries
13
Brief Summary
The purpose of this study is to assess the safety and tolerability of repeated subcutaneous (SC) doses of Dupilumab in participants with moderate-to-severe atopic dermatitis (AD).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1
Started Jul 2011
Shorter than P25 for phase_1
13 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 9, 2011
CompletedFirst Posted
Study publicly available on registry
June 30, 2011
CompletedStudy Start
First participant enrolled
July 31, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 31, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
March 31, 2012
CompletedFebruary 26, 2020
February 1, 2020
8 months
June 9, 2011
February 24, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Percentage of Participants With Treatment Emergent Adverse Events (TEAEs)
An adverse event (AE) was defined as any untoward medical occurrence in a participant who received investigational medicinal product (IMP) without regard to possibility of causal relationship with the treatment. An AE was any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of a study drug, whether or not considered related to the study drug. A serious adverse event (SAE) was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was considered as medically important event. TEAEs were defined as AEs that developed or worsened or became serious during on-treatment period (time from the first dose of study drug up to the end of study visit \[Day 85\]). Any TEAE included participants with both serious and non-serious AEs.
Baseline up to end of study (up to Day 85)
Secondary Outcomes (3)
Pharmacokinetics of Dupilumab: Peak Plasma Concentration (Cmax)
Day 22 (pre-dose), 25, 29, 36, 43, 50, 57, 64, 71 and Day 85
Pharmacokinetics of Dupilumab: Last Positive (Quantifiable) Concentration (Clast)
Day 22 (pre-dose), 25, 29, 36, 43, 50, 57, 64, 71 and Day 85
Pharmacokinetics of Dupilumab: Time of the Last Positive (Quantifiable) Concentration (Tlast)
Day 22 (pre-dose), 25, 29, 36, 43, 50, 57, 64, 71 and Day 85
Other Outcomes (6)
Percentage of Participants with Investigator's Global Assessment (IGA) Score of "0" or "1" at Day 29/ Week 4 (End of Treatment Period)
At Day 29/ Week 4
Percent Change From Baseline in Body Surface Area (BSA) Affected by Atopic Dermatitis to Week 4
Baseline to Day 29/ Week 4
Percent Change From Baseline in Eczema Area and Severity Index (EASI) Score to Week 4
Baseline to Day 29/ Week 4
- +3 more other outcomes
Study Arms (3)
Placebo
EXPERIMENTALPlacebo (for Dupilumab) as a single subcutaneous (SC) injection on Day 1, 8, 15, and 22
Dupilumab 150 mg
EXPERIMENTALDupilumab 150 mg as a single SC injection on Day 1, 8, 15, and 22
Dupilumab 300 mg
EXPERIMENTALDupilumab 300 mg as a single SC injection on Day 1, 8, 15, and 22
Interventions
A total of 4 doses were administered.
Participants were required to apply stable doses of an additive-free, basic bland emollient on the affected areas of the skin twice daily throughout the study.
Eligibility Criteria
You may qualify if:
- Male or female, 18 years or older;
- Chronic AD diagnosed by the Eichenfield revised criteria of Hannifin and Rajka that had been present for at least 3 years before the screening visit;
- Eczema Area and Severity Index (EASI) score ≥ 12 at the screening and baseline visits;
- Investigator's Global Assessment (IGA) score ≥ 3 at the screening and baseline visits;
- ≥ 10% body surface area (BSA) of AD involvement at the screening and baseline visits;
- History of inadequate response to a stable (≥ 1 month) regimen of topical corticosteroids or calcineurin inhibitors as treatment for AD within 3 months before the screening visit.
You may not qualify if:
- Positive Hepatitis B surface antigen, and/or positive Hepatitis C antibody at the screening visit;
- Treatment with an investigational drug within 8 weeks or within 5 half-lives, if known, whichever is longer, before the baseline visit;
- Treatment with leukotriene inhibitors within 4 weeks before the baseline visit;
- Treatment with systemic corticosteroids within 4 weeks before the baseline visit;
- Treatment with topical corticosteroids, tacrolimus, and/or pimecrolimus within 1 week before the baseline visit;
- Systemic treatment for AD with an immunosuppressive/immunomodulating substance within 4 weeks before the baseline visit;
- Chronic or acute infection requiring treatment with oral or IV antibiotics, antivirals, or antifungals within 4 weeks before the screening visit or superficial skin infections within 1 week before the screening visit;
- Known history of human immunodeficiency virus (HIV) infection;
- History of clinical parasite infection, other than treated trichomoniasis;
- History of malignancy within 5 years before the baseline visit, with the following exceptions: participants with a history of completely treated carcinoma in-situ of cervix, and non-metastatic squamous or basal cell carcinoma of the skin were allowed;
- Any medical or psychiatric condition which, in the opinion of the investigator or the sponsor's medical monitor, would place the participant at risk, interfere with participation in the study, or interfere with the interpretation of study results;
- Pregnant or breast-feeding women;
- Unwilling to use adequate birth control, if of reproductive potential and sexually active.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Regeneron Pharmaceuticalslead
- Sanoficollaborator
Study Sites (13)
Unknown Facility
Kogarah, New South Wales, Australia
Unknown Facility
Woolloongabba, Queensland, Australia
Unknown Facility
Carlton, Victoria, Australia
Unknown Facility
Nedlands, Western Australia, Australia
Unknown Facility
Hanover, Lower Saxony, Germany
Unknown Facility
Bonn, North Rhine-Westphalia, Germany
Unknown Facility
Berlin, 10117, Germany
Unknown Facility
Berlin, 10827, Germany
Unknown Facility
Gera, Germany
Unknown Facility
Münster, Germany
Unknown Facility
Sydenham, Christchurch, New Zealand
Unknown Facility
Caversham, Dunedin, New Zealand
Unknown Facility
Auckland, New Zealand
Related Publications (2)
Hamilton JD, Suarez-Farinas M, Dhingra N, Cardinale I, Li X, Kostic A, Ming JE, Radin AR, Krueger JG, Graham N, Yancopoulos GD, Pirozzi G, Guttman-Yassky E. Dupilumab improves the molecular signature in skin of patients with moderate-to-severe atopic dermatitis. J Allergy Clin Immunol. 2014 Dec;134(6):1293-1300. doi: 10.1016/j.jaci.2014.10.013.
PMID: 25482871RESULTBeck LA, Thaci D, Hamilton JD, Graham NM, Bieber T, Rocklin R, Ming JE, Ren H, Kao R, Simpson E, Ardeleanu M, Weinstein SP, Pirozzi G, Guttman-Yassky E, Suarez-Farinas M, Hager MD, Stahl N, Yancopoulos GD, Radin AR. Dupilumab treatment in adults with moderate-to-severe atopic dermatitis. N Engl J Med. 2014 Jul 10;371(2):130-9. doi: 10.1056/NEJMoa1314768.
PMID: 25006719RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Clinical Trial Management
Regeneron Pharmaceuticals
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 9, 2011
First Posted
June 30, 2011
Study Start
July 31, 2011
Primary Completion
March 31, 2012
Study Completion
March 31, 2012
Last Updated
February 26, 2020
Record last verified: 2020-02