A Study to Compare Safety and Efficacy of Upadacitinib to Dupilumab in Adult Participants With Moderate to Severe Atopic Dermatitis
Heads Up
A Phase 3b Multicenter, Randomized, Double-Blind, Double-Dummy, Active Controlled Study Comparing the Safety and Efficacy of Upadacitinib to Dupilumab in Adult Subjects With Moderate to Severe Atopic Dermatitis
2 other identifiers
interventional
673
23 countries
159
Brief Summary
This study will evaluate upadacitinib compared to dupilumab (Dupixent®) in adults with moderate to severe atopic dermatitis (AD) who are candidates for systemic therapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Feb 2019
159 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
November 9, 2018
CompletedFirst Posted
Study publicly available on registry
November 13, 2018
CompletedStudy Start
First participant enrolled
February 21, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 27, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
December 9, 2020
CompletedResults Posted
Study results publicly available
February 2, 2022
CompletedMarch 15, 2024
February 1, 2024
1.5 years
November 9, 2018
January 10, 2022
February 15, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of Participants Achieving a 75% Reduction From Baseline in Eczema Area and Severity Index Score (EASI 75) at Week 16
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none \[0\], mild \[1\], moderate \[2\], or severe \[3\]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema). The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
Baseline and Week 16
Secondary Outcomes (7)
Percent Change From Baseline in Worst Pruritus Numerical Rating Scale (NRS) Score at Week 16
Baseline (Week 0) to Week 16
Percentage of Participants Achieving a 100% Reduction From Baseline in EASI Score (EASI 100) at Week 16
Baseline and Week 16
Percentage of Participants Achieving a 90% Reduction From Baseline in EASI Score (EASI 90) at Week 16
Baseline and Week 16
Percent Change From Baseline in Worst Pruritus Numerical Rating Scale (NRS) Score at Week 4
Baseline (Week 0) to Week 4
Percentage of Participants Achieving a 75% Reduction From Baseline in EASI Score at Week 2
Baseline and Week 2
- +2 more secondary outcomes
Study Arms (2)
Upadacitinib 30 mg QD
EXPERIMENTALParticipants will receive 30 mg upadacitinib orally once a day (QD) up to Week 24 and placebo to dupilumab by subcutaneous injection every other week from Baseline to Week 22.
Dupilumab 300 mg EOW
EXPERIMENTALParticipants will receive a loading dose of 600 mg dupilumab by subcutaneous (SC) injection on Day 1 followed by 300 mg dupilumab SC every other week (EOW) until Week 22 and placebo to upadacitinib orally QD up to Week 24.
Interventions
Dupilumab is administered as a subcutaneous (SC) injection
Eligibility Criteria
You may qualify if:
- Participant has active moderate to severe atopic dermatitis (AD) defined by Eczema Area and Severity Index (EASI) ≥ 16, Investigator's Global Assessment (IGA) ≥ 3, ≥ 10% body surface area (BSA) of AD involvement at the Screening and Baseline Visits, and Baseline weekly average of daily Worst Pruritus NRS ≥ 4.
- Participant is a candidate for systemic therapy or have recently required systemic therapy for AD.
You may not qualify if:
- Participant has prior exposure to Janus Kinase (JAK) inhibitor.
- Participant has prior exposure to dupilumab.
- Participant is unable or unwilling to discontinue current AD treatments prior to the study.
- Participant has requirement of prohibited medications during the study.
- Participant has other active skin diseases or skin infections requiring systemic treatment or would interfere with appropriate assessment of AD lesions.
- Female participant who is pregnant, breastfeeding, or considering pregnancy during the study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AbbVielead
Study Sites (159)
Clinical Research Center AL /ID# 210277
Birmingham, Alabama, 35209-6802, United States
University of Arkansas for Medical Sciences /ID# 211688
Little Rock, Arkansas, 72205, United States
Tien Q Nguyen MD, Inc /ID# 208934
Fountain Valley, California, 92708-3701, United States
UCSF Fresno /ID# 213253
Fresno, California, 93701-2302, United States
Jonathan Corren, MD. INC /ID# 208987
Los Angeles, California, 90025-4749, United States
California Allergy and Asthma Medical Group /ID# 213680
Los Angeles, California, 90025-7014, United States
Dermatology Research Associates /ID# 209097
Los Angeles, California, 90045, United States
Los Angelos Cataract Center /ID# 208524
Los Angeles, California, 90056, United States
Dermatology Clinical Trials /ID# 214622
Newport Beach, California, 92660-7853, United States
UC Davis Health /ID# 209285
Sacramento, California, 95816, United States
Ucsd /Id# 208990
San Diego, California, 92103, United States
Clinical Science Institute /ID# 211022
Santa Monica, California, 90404-2102, United States
The Community Research of South Florida /ID# 211145
Hialeah, Florida, 33016-1897, United States
Miami Dermatology and Laser Institute /ID# 212938
Miami, Florida, 33173-3570, United States
Florida International Rsrch cr /ID# 211562
Miami, Florida, 33173, United States
Progressive Medical Research /ID# 211994
Port Orange, Florida, 32127, United States
GCP Research /ID# 216020
St. Petersburg, Florida, 33705, United States
Clinical Research Trials of Florida, Inc. /ID# 210751
Tampa, Florida, 33607, United States
Integrated Clinical Research LLC /ID# 208831
West Palm Beach, Florida, 33406-6063, United States
Georgia Pollens Clinical Research Centers, Inc /ID# 211092
Albany, Georgia, 31707-1282, United States
Meridian Clinical Research Dermatology /ID# 213251
Savannah, Georgia, 31406-2632, United States
Northwestern University Feinberg School of Medicine /ID# 208680
Chicago, Illinois, 60611-2927, United States
Medical Dermatology Associates of Chicago /ID# 210265
Chicago, Illinois, 60654-6903, United States
Sneeze, Wheeze, & Itch Associates, LLC /ID# 212058
Normal, Illinois, 61761, United States
Dawes Fretzin, LLC /ID# 209187
Indianapolis, Indiana, 46256, United States
Beacon Clinical Research, LLC /ID# 209280
Quincy, Massachusetts, 02169, United States
Clarkston Skin Research /ID# 208739
Clarkston, Michigan, 48346, United States
Henry Ford Health System /ID# 208741
Detroit, Michigan, 48202, United States
Clinical Research Institute, Inc /ID# 210852
Minneapolis, Minnesota, 55402-2606, United States
Allergy, Asthma & Immunology Associates, PC /ID# 213481
Lincoln, Nebraska, 68505-2343, United States
Skin Specialists, PC /ID# 208843
Omaha, Nebraska, 68144, United States
Dartmouth-Hitchcock Medical Center /ID# 213727
Lebanon, New Hampshire, 03756, United States
Forest Hills Dermatology Group /ID# 209249
Kew Gardens, New York, 11415, United States
Montefiore Medical Center /ID# 209647
The Bronx, New York, 10467, United States
Wake Forest Univ HS /ID# 208892
Winston-Salem, North Carolina, 27157, United States
Univ Hosp Cleveland /ID# 208852
Cleveland, Ohio, 44106, United States
The Ohio State University /ID# 209254
Columbus, Ohio, 43210-1257, United States
Southside Dermatology /ID# 212004
Tulsa, Oklahoma, 74132, United States
Oregon Medical Res Center PC /ID# 208807
Portland, Oregon, 97223, United States
Oregon Health and Science University /ID# 208809
Portland, Oregon, 97239, United States
Medical University of South Carolina /ID# 211054
Charleston, South Carolina, 29425, United States
Clinical Research Solutions, LLC /ID# 212542
Jackson, Tennessee, 38305-2163, United States
Orion Clinical Research /ID# 208765
Austin, Texas, 78759-4100, United States
DiscoveResearch, Inc. /ID# 213171
Bryan, Texas, 77802, United States
Epiphany Dermatology - Fort Worth /ID# 211187
Fort Worth, Texas, 76244-6548, United States
Sante Clinical Research /ID# 212970
Kerrville, Texas, 78028-9640, United States
Stephen Miller, MD PA /ID# 210071
San Antonio, Texas, 78249, United States
Sugar Land Allergy, Asthma, and Immunology Center /ID# 211153
Sugar Land, Texas, 77479-3153, United States
University of Utah /ID# 209001
Salt Lake City, Utah, 84112-5500, United States
Clinical Research Partners, LLC /ID# 212262
Richmond, Virginia, 23220-4459, United States
Premier Clinical Research /ID# 212142
Spokane, Washington, 99202, United States
West Virginia Research Inst /ID# 212730
South Charleston, West Virginia, 25309, United States
Holdsworth House Medical Practice /ID# 214565
Darlinghurst, New South Wales, 2010, Australia
The Skin Hospital /ID# 214401
Darlinghurst, New South Wales, 2010, Australia
Veracity Clinical Research /ID# 211134
Woolloongabba, Queensland, 4102, Australia
Sinclair Dermatology /ID# 209395
East Melbourne, Victoria, 3002, Australia
Burswood Dermatology /ID# 214875
Victoria Park, Western Australia, 6100, Australia
Kirk Barber Research, CA /ID# 209504
Calgary, Alberta, T2G 1B1, Canada
Dermatology Research Institute Inc. /ID# 210942
Calgary, Alberta, T2J 7E1, Canada
Dr. Chih-ho Hong Medical Inc. /ID# 211032
Surrey, British Columbia, V3R 6A7, Canada
Enverus Medical Research /ID# 209503
Surrey, British Columbia, V3V 0C6, Canada
Dr. Wei Jing Loo Medicine Prof /ID# 211400
London, Ontario, N6H 5L5, Canada
Lynderm Research Inc. /ID# 209505
Markham, Ontario, L3P 1X2, Canada
DermEdge Research Inc. /ID# 211122
Mississauga, Ontario, L5H 1G9, Canada
Niakosari Medicine Professional Corporation /ID# 211401
Toronto, Ontario, M2M 4J5, Canada
K. Papp Clinical Research /ID# 209509
Waterloo, Ontario, N2J 1C4, Canada
Dre Angelique Gagne-Henley M.D. inc. /ID# 209498
Saint-Jérôme, Quebec, J7Z 7E2, Canada
DermaPlus - Poliklinika za dermatologiju i venerologiju /ID# 209935
Zagreb, City of Zagreb, 10000, Croatia
Djecja bolnica Srebrnjak /ID# 209939
Zagreb, City of Zagreb, 10000, Croatia
Klinicki bolnicki centar Zagreb /ID# 209976
Zagreb, City of Zagreb, 10000, Croatia
Naftalan - Specijalna bolnica za medicinsku rehabilitaciju /ID# 209937
Ivanić-Grad, Zagreb County, 10310, Croatia
Fakultni Nemocnice Brno /ID# 212968
Brno, 625 00, Czechia
FN Hradec Kralove /ID# 209116
Hradec Králové, 500 05, Czechia
Nemocnice Jihlava, prispevkova organizace /ID# 209131
Jihlava, 586 01, Czechia
Fakultni nemocnice Ostrava /ID# 209117
Ostrava, 708 52, Czechia
Fakultni Nemocnice v Motole /ID# 209209
Prague, 150 06, Czechia
Keski-pohjanmaa Central Hospital /ID# 209534
Kokkola, Keski-Pohjanmaa, 67200, Finland
Oulu University Hospital /ID# 208961
Oulu, North Ostrobothnia, 90220, Finland
Mikkeli Central Hospital /ID# 210125
Mikkeli, 50100, Finland
Pihlajalinna Turku /ID# 209599
Turku, 20100, Finland
CHRU Lille - Hopital Claude Huriez /ID# 209317
Lille, Hauts-de-France, 59045, France
CHU de Nantes - Hotel Dieu /ID# 208974
Nantes, Pays de la Loire Region, 44093, France
Charles Nicolle CHU Rouen /ID# 208973
Rouen, Seine-Maritime, 76031, France
Hopital de la Timone /ID# 211245
Marseille, 13385, France
Centre Hospitalier Universitaire de Nice - Hopital l'Archet 2 /ID# 213374
Nice, 06202, France
Polyclinique Courlancy /ID# 208975
Reims, 51100, France
Hopital Larrey - CHU de Toulouse /ID# 208976
Toulouse, 31059, France
Universitatsklinikum Munster /ID# 210935
Munster, Lower Saxony, 48149, Germany
Gemeinschaftspraxis /ID# 211174
Blankenfeld-mahlow, 15831, Germany
Hautklinik Klinikum Darmstadt /ID# 210938
Darmstadt, 64283, Germany
Universitaetsklinikum Frankfurt /ID# 210934
Frankfurt, 60590, Germany
Medizinische Hochschule Hannover /ID# 210939
Hanover, 30625, Germany
TU Uniklinik Munchen /ID# 210937
Munich, 80802, Germany
Oroshazi Korhaz /ID# 210150
Orosháza, Bekes County, 5900, Hungary
Uno Medical Trials Kft /ID# 211177
Budapest XIII, 1135, Hungary
Debreceni Egyetem Klinikai Kozpont /ID# 210893
Debrecen, 4032, Hungary
Somogy Megyei Kaposi Mor Oktat /ID# 210149
Kaposvár, 7400, Hungary
Pecsi Tudomanyegyetem Klinikai l.sz. Belgyogyaszati Klinika /ID# 210892
Pécs, 7624, Hungary
St Vincent's University Hosp /ID# 208441
Dublin, D04 T6F4, Ireland
University Hospital Waterford /ID# 208442
Waterford, X91 ER8E, Ireland
HaEmek Medical Center /ID# 210153
Afula, 1834111, Israel
Rabin Medical Center /ID# 210012
Petah Tikva, 4941492, Israel
Sheba Medical Center /ID# 210013
Ramat Gan, 5239424, Israel
Ichilov Medical Center /ID# 210014
Tel Aviv, 64239, Israel
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico /ID# 210632
Milan, Lombardy, 20122, Italy
IBD Center - IRCCS Istituto Clinico Humanitas /ID# 215726
Rozzano, Milano, 20089, Italy
A.O. Policlinico Sant'Orsola Malpighi /ID# 209111
Bologna, 40138, Italy
A.O.U. di Brescia /ID# 209115
Brescia, 25123, Italy
Ospedale San Giovanni di Dio /ID# 209109
Cagliari, 9124, Italy
AO Univ di Modena /ID# 209110
Modena, 41100, Italy
Policlinico Univ Tor Vergata /ID# 209112
Rome, 00133, Italy
Hospital Sultan Ismail /ID# 211037
Johor Bahru, Johor, 81100, Malaysia
Hospital Pakar Sultanah Fatimah /ID# 210185
Muar town, Johor, 84000, Malaysia
UKM Medical Centre /ID# 209178
Kuala Lumpur, Selangor, 56000, Malaysia
Hospital Pulau Pinang /ID# 210212
George Town, 10450, Malaysia
University Malaya Med Ctr /ID# 208861
Kuala Lumpur, 59100, Malaysia
Hospital Putrajaya /ID# 209177
Putrajaya, 62250, Malaysia
Bravis Ziekenhuis /ID# 208584
Bergen op Zoom, North Brabant, 4624 VT, Netherlands
Academisch Medisch Centrum /ID# 208578
Amsterdam, North Holland, 1105 AZ, Netherlands
Centrum Oosterwal /ID# 209641
Alkmaar, 1817 MS, Netherlands
Universitair Medisch Centrum Groningen /ID# 208583
Groningen, 9713 GZ, Netherlands
Erasmus Medisch Centrum /ID# 208582
Rotterdam, 3015 GD, Netherlands
Universitair Medisch Centrum Utrecht /ID# 208579
Utrecht, 3584 CX, Netherlands
Optimal Clinical Trials Ltd /ID# 209475
Auckland, 1010, New Zealand
Clinical Trials NZ /ID# 215590
Hamilton, 3206, New Zealand
Wellington Hospital (Capital and Coast District Health Board) /ID# 215001
Wellington, 6021, New Zealand
St. Olavs Hospital HF /ID# 209137
Trondheim, Sor-Trondelag, 7006, Norway
Universitetssykehuset N-Norge, Harstad /ID# 209105
Harstad, Troms, 9406, Norway
Universitetssykehuset N-Norge, Tromso /ID# 209103
Tromsø, Troms, 9019, Norway
Szpital Uniwersytecki nr 1 im. dr. A. Jurasza w Bydgoszczy /ID# 211103
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-094, Poland
Pratia MCM Krakow /ID# 207444
Krakow, Lesser Poland Voivodeship, 30-510, Poland
Klinika Ambroziak Sp. z o.o. /ID# 207443
Warsaw, Masovian Voivodeship, 02-758, Poland
Royalderm Agnieszka Nawrocka /ID# 211015
Warsaw, Masovian Voivodeship, 02-962, Poland
ClinicMed Daniluk, Nowak Sp.j. /ID# 211112
Bialystok, Podlaskie Voivodeship, 15-879, Poland
Dermoklinika Medical Center /ID# 211026
Lodz, Łódź Voivodeship, 90-436, Poland
National Skin Centre /ID# 208775
Singapore, Central Singapore, 308205, Singapore
National University Hospital /ID# 208774
Singapore, 119074, Singapore
Singapore General Hospital /ID# 208776
Singapore, 169608, Singapore
Hospital Universitario de Bellvitge /ID# 207063
L'Hospitalet de Llobregat, Barcelona, 08907, Spain
Hospital Universitario Dr. Negrin /ID# 208969
Las Palmas de Gran Canaria, Las Palmas, 35010, Spain
Hospital de Manises /ID# 207062
Manises, Valencia, 46940, Spain
Complejo Hospitalario Universitario de Pontevedra /ID# 207139
Pontevedra, 36071, Spain
Hospital Universitario Arnau Vilanova /ID# 207065
Valencia, 46015, Spain
Hospital Universitario y Politecnico La Fe /ID# 207064
Valencia, 46026, Spain
Skanes Universitetssjukhus /ID# 206783
Malmo, Skåne County, 214 28, Sweden
Karolinska University Hospital /ID# 207909
Stockholm, SE-17176, Sweden
China Medical University Hosp /ID# 209770
Taichung, Taichung, 40447, Taiwan
National Taiwan University Hospital /ID# 208309
Taipei City, Taipei, 100, Taiwan
Chung Shan Medical University /ID# 208311
Taichung, 40201, Taiwan
Taipei Municipal Wan Fang Hospital /ID# 209987
Taipei, 116, Taiwan
Military Hospital of Military-Medical Clinical Center of Southern Region /ID# 210435
Zaporizhzhya, Zaporizhzhia Oblast, 69063, Ukraine
Kyiv City Clinical Skin and Venereal Hospital /ID# 210755
Kyiv, 04209, Ukraine
ME "Rivne Regional Dermatology and Venereology Dispensary" of RRC /ID# 210434
Rivne, 33028, Ukraine
Royal Alex Childrens County Hospital /ID# 209709
Brighton, Brighton And Hove, BN2 5BE, United Kingdom
Victoria Hospital /ID# 209853
Kirkcaldy, Fife, KY2 5AH, United Kingdom
Royal Hospital for Children /ID# 210451
Glasgow, Glasgow City, G51 4TF, United Kingdom
The Royal Free Hospital /ID# 208659
London, London, City of, NW3 2QG, United Kingdom
Guy's and St Thomas' NHS Found /ID# 208881
London, London, City of, SE1 9RT, United Kingdom
Cardiff & Vale University Health Board /ID# 209745
Cardiff, Wales, CF14 4XN, United Kingdom
Related Publications (3)
Blauvelt A, Teixeira HD, Simpson EL, Costanzo A, De Bruin-Weller M, Barbarot S, Prajapati VH, Lio P, Hu X, Wu T, Liu J, Ladizinski B, Chu AD, Eyerich K. Efficacy and Safety of Upadacitinib vs Dupilumab in Adults With Moderate-to-Severe Atopic Dermatitis: A Randomized Clinical Trial. JAMA Dermatol. 2021 Sep 1;157(9):1047-1055. doi: 10.1001/jamadermatol.2021.3023.
PMID: 34347860RESULTSimpson EL, Silverberg JI, Prajapati VH, Eyerich K, Katoh N, Boguniewicz M, Guttman-Yassky E, Song EJ, Lee WJ, Teixeira HD, Wu T, Sancho Sanchez C, Vigna N, Calimlim BM, de Bruin-Weller M. Rapid Itch Improvement and Skin Clearance with Upadacitinib Versus Placebo (Measure Up 1 and Measure Up 2) and Versus Dupilumab (Heads Up): Results from Three Phase 3 Clinical Trials in Patients with Moderate-to-Severe Atopic Dermatitis. Dermatol Ther (Heidelb). 2025 Aug;15(8):2061-2076. doi: 10.1007/s13555-025-01443-w. Epub 2025 Jun 2.
PMID: 40457140DERIVEDBlauvelt A, Eyerich K, Irvine AD, de Bruin-Weller M, Kwatra SG, Gooderham M, Kim B, Calimlim BM, Lee WJ, Raymundo EM, Liu Y, Ofori S, Platt AM, Silverberg JI. More Time Spent with Clear Skin and No Itch with Upadacitinib versus Dupilumab for Atopic Dermatitis. Dermatol Ther (Heidelb). 2024 Sep;14(9):2621-2630. doi: 10.1007/s13555-024-01242-9. Epub 2024 Aug 7.
PMID: 39110139DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Global Medical Services
- Organization
- AbbVie
Study Officials
- STUDY DIRECTOR
ABBVIE INC.
AbbVie
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
- Expanded Access
- Yes
Study Record Dates
First Submitted
November 9, 2018
First Posted
November 13, 2018
Study Start
February 21, 2019
Primary Completion
August 27, 2020
Study Completion
December 9, 2020
Last Updated
March 15, 2024
Results First Posted
February 2, 2022
Record last verified: 2024-02
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, CSR
- Time Frame
- For details on when studies are available for sharing, please refer to the link below.
- Access Criteria
- Access to this clinical trial data can be requested by any qualified researchers who engage in rigorous, independent scientific research, and will be provided following review and approval of a research proposal and Statistical Analysis Plan (SAP) and execution of a Data Use Agreement (DUA). For more information on the process, or to submit a request, visit the following link.
AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.