Dermatitis, Atopic
Conditions
Interventions
Active Comparator: Group A: Dupilumab
Participants will receive Dupilumab dose regimen 1 subcutaneously through Week 22.
Drug: Dupilumab
Dupilumab will be administered subcutaneously.
Experimental: G
Sponsors
Kawahara Kensaku
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: -Chronic Atopic Dermatitis (AD), according to American Academy of Dermatology Consensus Criteria with onset of symptoms at least 1 year prior to the screening visit -Eczema Area and Severity Index (EASI) score greater than and equal to (>=) 16 at the screening and baseline visits -Validated investigator global assessment for AD (vIGA-AD) score >= 3 at the screening and baseline visits - >= 10% body surface area (BSA) of AD involvement at the screening and baseline visits -Baseline Peak Pruritus Numeric(al) Rating Scale (PP-NRS) average score of >=4 -Documented history (within 6 months before screening) of either inadequate response or inadvisability to topical treatments, or inadequate response to systemic therapies (within 12months before screening) -Participant has applied a moisturizer at least once daily for at least 7 days before the baseline visit
Exclusion criteria
Exclusion criteria: -Experienced primary efficacy failure (no response within 16 weeks) or an adverse event(AE) requiring discontinuation related to agents (eg, severe ocular surface disease, dupilumab-associated facial redness) inhibiting IL-4Ralpha, IL-4, and/or IL-13 signaling (eg,dupilumab, lebrikizumab, or tralokinumab) -Participant is pregnant or breastfeeding, or planning to become pregnant or breastfeed during the study -Active skin disease other than AD including eczema herpeticum, molluscum contagiosum,impetigo, psoriasis or has any other ongoing significant skin condition including skin infections, that, according to the investigator, could interfere with efficacy assessments -Current diagnosis or signs or symptoms of severe, progressive, or uncontrolled renal,cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurologic, hematologic,rheumatologic, psychiatric, or metabolic disturbances -Recent case of eczema herpeticum, herpes zoster within 8 weeks before screening, or history of recurrent eczema herpeticum -History of chronic or recurrent infectious disease, including but not limited to chronic renal infection, chronic chest infection (eg, untreated latent tuberculosis), recurrent urinary tract infection, fungal infection, mycobacterial infection, or open, draining, or infected skin wounds, or ulcers. -Diagnosed active parasitic infection or at high risk of parasitic infection, unless treated with antihelminth therapy prior to randomization -Had major surgery (eg, requiring general anesthesia and hospitalization), within 8 weeks before screening, or will not have fully recovered from surgery, or has such surgery planned during the time the participant is expected to participate in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Percentage of Participants with Eczema Area and Severity Index (EASI) 75 Response at Week 12 [Time Frame: Baseline, Week 12] EASI-75 response is defined as at least 75 percent (%) improvement in EASI total score.EASI-75 response is defined as at least 75% improvement from baseline in EASI total score. The EASI score is used to measure the severity and extent of atopic dermatitis (AD)and measures erythema, infiltration/papulation, excoriation and lichenification on 4anatomic regions of the body: head/neck, trunk, upper and lower extremities. The total EASIscore ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting ahigher severity of AD. | — |
Secondary
| Measure | Time frame |
|---|---|
| Refer to Appendix | — |
Countries
Argentina, Brazil, Canada, Germany, Japan, Poland, Spain, United Kingdom Of Great Britain, United States Of America
Contacts
Public ContactMedical Information Center
Janssen Pharmaceutical K.K.
Outcome results
None listed