A Non-interventional Study to Describe the Dupilumab Long-term Treatment, Safety and Patient Reported Outcomes in Chronic Nodular Prurigo (Prurigo Nodularis) in Clinical Routine
CLEAR PN
Prospective, Non-interventional Observational Study to Characterize Dupilumab Long-term Treatment, Safety and Patient Reported Outcomes in Chronic Nodular Prurigo (Prurigo Nodularis) in Clinical Routine
2 other identifiers
observational
150
1 country
11
Brief Summary
Prurigo nodularis (PN) is a skin disease characterized by the presence of single to multiple symmetrically distributed, intensively itching nodules. The main symptom is uncontrollable itching leading to prolonged, repetitive, and uncontrollable rubbing, scratching which in turn causes injuries to the skin. In recent years, number of studies evaluating PN, the affected population and the disease burden has increased but PN remains still understudied. This non-interventional study is intended to describe the long-term effectiveness of dupilumab (Dupixent®) in participants aged 18 years or older and suffering from moderate-to-severe PN who receive dupilumab for PN treatment in a real-world setting in Germany according to the prescribing information (Summary of Product Characteristics \[SmPC\]). The decision to initiate dupilumab treatment is made by the treating physician and participant according to the participant's medical need and to the standard of best medical practice. This decision is made independently and before data inclusion in this non-interventional study.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Dec 2023
Typical duration for all trials
11 active sites
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
September 29, 2023
CompletedFirst Posted
Study publicly available on registry
October 18, 2023
CompletedStudy Start
First participant enrolled
December 27, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 6, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 28, 2026
August 13, 2025
August 1, 2025
2.4 years
September 29, 2023
August 12, 2025
Conditions
Outcome Measures
Primary Outcomes (2)
Percentage (%) of participants with Investigator Global Assessment Prurigo Nodularis Stage (IGA-CPG-S) score 0 or 1 in Month 6
IGA CPG-S is an instrument used to assess the overall number and thickness of PN lesions at a given time point, as determined by the investigator. It consists of a 5-point scale ranging from 0 to 4 where 0 = clear, 1 = almost clear, 2 = mild, 3 = moderate and 4 = severe. Higher scores indicate severe prurigo nodularis (PN).
Month 6
Percentage (%) of participants with greater than or equal to (≥) 4-point improvement (reduction) in Worst Itch Numerical Rating Scale (WI-NRS) from baseline to Month 6
WI-NRS is a validated measure of itch severity. Participants were asked daily to rate the intensity of their worst pruritus (itch) over the past 24 hours, using a 11-point scale ranging from 0 (no itch) to 10 (worst imaginable itch). Higher scores indicated more severity.
Baseline, Month 6
Secondary Outcomes (38)
Characterization of the participants who receive dupilumab for PN: Socio-demographic data
Baseline
Characterization of the participants who receive dupilumab for PN: Medical history of disease
Baseline
Characterization of the participants who receive dupilumab for PN: Previous PN treatment (including balneophototherapy and/or UV therapy)
Baseline
Characterization of the participants who receive dupilumab for PN: Current PN treatment (INN, topical and/or systemic)
Baseline, Months 1, 3, 6, 9, 12, 18 and 24
Characterization of the participants who receive dupilumab for PN: Concomitant medication (INN)
Baseline, Months 1, 3, 6, 12 and 24
- +33 more secondary outcomes
Study Arms (1)
PN treatment
Participants ≥ 18 years suffering from moderate-to-severe PN who receive long-term dupilumab treatment for PN in a real-world setting in Germany.
Interventions
Subcutaneous injection, standard of care as prescribed by treating physician (no investigational drug provided)
Eligibility Criteria
Participants ≥ 18 years suffering from moderate-to-severe PN who receive long-term dupilumab treatment for PN in a real-world setting in Germany.
You may qualify if:
- Participants at least 18 years of age at baseline visit
- Signed written informed consent
- New initiation with dupilumab or in whom treatment with dupilumab was started within the last 7 days for moderate to severe prurigo nodularis according to the prescribing information/Summary of Product Characteristics (SmPC)
- Patients who received the initial diagnosis of PN
You may not qualify if:
- Patients who have a contraindication to dupilumab according to the current prescribing information label/SmPC
- Patients who have been treated for more than 7 days with dupilumab
- Any acute or chronic condition that, in the treating physician´s opinion, would limit the patient´s ability to complete questionnaires or to participate in this study or impact the interpretation of the results
- Participation in an ongoing interventional or observational study that might, in the treating physician´s opinion, influence the assessments for the current study
- The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Sanofilead
Study Sites (11)
Investigational Site Number: 013
Adernach, 56626, Germany
Investigational site number: 001
Berlin, 12203, Germany
Investigational Site Number: 002
Berlin, 13507, Germany
Investigational Site Number: 023
Chemnitz, 09117, Germany
Investigational Site Number: 005
Düren, 52349, Germany
Investigational Site Number: 004
Düsseldorf, 40219, Germany
Investigational Site Number: 007
Hamburg, 22391, Germany
Investigational Site Number: 016
Leipzig, 04371, Germany
Investigational Site Number: 031
Mainz, 55128, Germany
Investigational Site Number: 022
Potsdam, 14467, Germany
Investigational Site Number: 024
Potsdam, 14469, Germany
MeSH Terms
Interventions
Study Officials
- STUDY DIRECTOR
Clinical Sciences & Operations
Sanofi
Central Study Contacts
Trial Transparency email recommended (Toll free for US & Canada)
CONTACT
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Target Duration
- 24 Months
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 29, 2023
First Posted
October 18, 2023
Study Start
December 27, 2023
Primary Completion (Estimated)
June 6, 2026
Study Completion (Estimated)
December 28, 2026
Last Updated
August 13, 2025
Record last verified: 2025-08
Data Sharing
- IPD Sharing
- Will share
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org