An Open-label, Single-arm Longitudinal Study With Dupilumab for Patients With Atopic Dermatitis
Effects of Interleukin (IL)-4/IL-13 Blockade on the Structure and Function of Cutaneous Sensory Nerves: An Open-label, Single-arm Longitudinal Study With Dupilumab
1 other identifier
interventional
45
0 countries
N/A
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Sep 2020
Shorter than P25 for phase_4
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 24, 2020
CompletedFirst Posted
Study publicly available on registry
August 20, 2020
CompletedStudy Start
First participant enrolled
September 1, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 26, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
March 31, 2021
CompletedAugust 20, 2020
August 1, 2020
6 months
July 24, 2020
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
EXPERIMENTALInterventions
SC injections of 300 mg dupilumab every 2 weeks for 24 weeks following a loading dose of 600 mg on day 1
Eligibility Criteria
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
- Eric Simpsonlead
- Regeneron Pharmaceuticalscollaborator
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Eric Simspon, MD
Oregon Health and Science University
Central Study Contacts
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