NCT04520308

Brief Summary

24-week, open-label, single-arm longitudinal study of patients with AD, including a comparison between baseline values for adult patients with moderate-to-severe AD and untreated normal control patients. Patients with AD: ≤24 to 29 weeks, including the screening period Normal control patients: ≤2 days to 5 weeks, including the screening period. Patients with AD: adults with moderate-to-severe AD whose disease cannot be adequately controlled with topical medications or for whom topical treatment is medically inadvisable (eg, intolerance, other important side effects or safety risks) Normal control patients: adults without AD or other atopic disease

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
45

participants targeted

Target at P25-P50 for phase_4

Timeline
Completed

Started Sep 2020

Shorter than P25 for phase_4

Status
unknown

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

July 24, 2020

Completed
27 days until next milestone

First Posted

Study publicly available on registry

August 20, 2020

Completed
12 days until next milestone

Study Start

First participant enrolled

September 1, 2020

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 26, 2021

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2021

Completed
Last Updated

August 20, 2020

Status Verified

August 1, 2020

Enrollment Period

6 months

First QC Date

July 24, 2020

Last Update Submit

August 18, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • Mean change from baseline in nerve length at week 24 in patients with AD

    Measured using confocal microscopy.

    24 weeks

Secondary Outcomes (24)

  • Mean change from baseline in dermal and epidermal nerve branching at week 24 for patients with AD

    24 weeks

  • Mean change from baseline in nerve substance P expression at week 24 for patients with AD

    24 weeks

  • Mean change from baseline in nerve thymic stromal lymphopoietin (TSLP) receptor and IL-31 receptor expression at week 24 for patients with AD

    24 weeks

  • Mean change from baseline in nerve IL-4 receptor alpha (IL-4Rα) expression at week 24 for patients with AD

    24 weeks

  • Mean change from baseline in keratinocyte TSLP expression at week 24 for patients with AD

    24 weeks

  • +19 more secondary outcomes

Study Arms (1)

dupilumab

EXPERIMENTAL
Drug: Dupilumab Only Product

Interventions

SC injections of 300 mg dupilumab every 2 weeks for 24 weeks following a loading dose of 600 mg on day 1

Also known as: dupixent
dupilumab

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • All patients:
  • Male or female, 18 years or older
  • Willing and able to comply with clinic visits and study-related procedures
  • Provide signed informed consent
  • Have applied a stable dose of topical emollient (moisturizer) once daily for at least 7 days before the day 1 visit
  • AD patients only:
  • Chronic AD
  • Eczema Area and Severity Index (EASI) ≥16 at screening and day 1 visits
  • Investigator's global assessment (IGA) ≥3 (on the 0 to 4 IGA scale, in which 3 is moderate and 4 is severe) at the screening and day 1 visits
  • Body surface area of involvement of AD (BSA) ≥10% at screening and day 1 visits
  • Documented recent history (within 6 months before screening visit) of inadequate response to treatment with topical medications or for whom topical treatments are otherwise medically inadvisable

You may not qualify if:

  • Prior use of dupilumab or other anti-IL-4 treatments (prescription or as part of a clinical study) within 1 year of screening
  • Treatment with an investigational drug within 8 weeks or within 5 half-lives (if known) before the day 1 visit, whichever is longer
  • Having used immunosuppressive drugs or phototherapy within the last 4 weeks
  • Treatment with TCS or TCI within 1 week before the day 1 visit
  • Regular use (\>2 visits/week) of a tanning booth/parlor within 4 weeks before the screening visit

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Dermatitis, AtopicEczema

Interventions

dupilumab

Condition Hierarchy (Ancestors)

Skin Diseases, GeneticGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesDermatitisSkin DiseasesSkin and Connective Tissue DiseasesSkin Diseases, EczematousHypersensitivity, ImmediateHypersensitivityImmune System Diseases

Study Officials

  • Eric Simspon, MD

    Oregon Health and Science University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Cody Blankenship

CONTACT

Lindsay Chandler

CONTACT

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NA
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

July 24, 2020

First Posted

August 20, 2020

Study Start

September 1, 2020

Primary Completion

February 26, 2021

Study Completion

March 31, 2021

Last Updated

August 20, 2020

Record last verified: 2020-08

Data Sharing

IPD Sharing
Will not share