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Study to Assess the Safety of Dupilumab (REGN668/SAR231893) Administered Concomitantly With Topical Corticosteroids (TCS) in Patients With Moderate-to-severe Atopic Dermatitis (AD)

A Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Study to Assess the Safety of REGN668 Administered Concomitantly With Topical Corticosteroids to Patients With Moderate-to-Severe Atopic Dermatitis

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01639040
Enrollment
31
Registered
2012-07-12
Start date
2012-07-31
Completion date
2012-12-31
Last updated
2017-10-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Atopic Dermatitis

Brief summary

The purpose of this study was to assess the safety of Dupilumab administered concomitantly with topical corticosteroids (TCS) in patients with moderate-to-severe atopic dermatitis (AD).

Interventions

DRUGDupilumab

Dupilumab 300 mg once weekly (QW) for 4 weeks

Placebo (for Dupilumab) once weekly (QW) for 4 weeks

TCS such as methylprednisolone aceponate 0.1%, mometasone furoate 0.1%, or betamethasone valerate 0.1%

Sponsors

Sanofi
CollaboratorINDUSTRY
Regeneron Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Male and female patients aged 18 years or older 2. Chronic AD that had been present for at least 2 years

Exclusion criteria

1. Prior treatment with Dupilumab 2. Hypersensitivity to corticosteroids or to any other ingredients contained by the TCS product used in the study 3. AD lesions located on face, flexural, and genital areas 4. Certain treatments and medical procedures, undertaken within a particular time frame prior to the baseline visit, preclude eligibility for participation in the study 5. Treatment with a live (attenuated) vaccine within 12 weeks before the baseline visit 6. Treatment with an investigational drug within 8 weeks 7. Known history of human immunodeficiency virus (HIV) infection 8. Presence of certain laboratory abnormalities at the screening visit 9. History of certain opportunistic infections or certain clinical parasite infections 10. History of malignancy within 5 years before the baseline visit, with certain exceptions 11. Pregnant or breast-feeding women 12. Travel within 12 months of study start to areas endemic for parasitic infections, such as developing countries in Africa and the tropical and subtropical regions of Asia 13. History of alcohol or drug abuse within 2 years of the screening visit 14. Any medical or psychiatric condition which, in the opinion of the investigator or the sponsor's medical monitor, would place the patient at risk, interfere with participation in the study, or interfere with the interpretation of study results

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Treatment Emergent Adverse Events (TEAEs)Baseline up to the end of study (up to Day 78)Any untoward medical occurrence in a subject who received investigational medicinal product (IMP) was considered an AE without regard to possibility of causal relationship with this treatment. Treatment-emergent adverse events (TEAEs) were defined as AEs that developed or worsened or became serious during on-treatment period (from start of administration of first dose of study drug to the end of study \[up to Day 78\]). A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in any of following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. Any TEAE included participants with both serious and non-serious AEs.

Other

MeasureTime frameDescription
Percentage of Participants Achieving Eczema Area and Severity Index (EASI) Score: Reduction of ≥50 at Day 29 - Censored Last Observation Carried Forward (LOCF)Day 29The EASI score was used to measure the severity and extent of atopic dermatitis (AD) and measures erythema, infiltration, excoriation and lichenification on 4 anatomic regions of the body: head, trunk, upper and lower extremities. The total EASI score range from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD. The efficacy data were set to missing after prohibited medication was used or after the participant was discontinued from the study. Then, all missing values were imputed by simple LOCF.
Percent Change in Pruritus Numerical Rating Scale (NRS) From Day 1 (Baseline) to Day 29 (Week 4)Baseline up to Day 29Pruritus NRS was an assessment tool that was used to report the intensity of participant's pruritus (itch), both maximum and average intensity, during a 24-hour recall period. Participants were asked the following question: how would a participant rate his itch at the worst moment during the previous 24 hours (for maximum itch intensity on a scale of 0 - 10 \[0 = no itch; 10 = worst itch imaginable\]).
Percentage of Participants Achieving an Investigator's Global Assessment (IGA) Score of 0 or 1 at Day 29Day 29IGA was an assessment scale used to determine severity of AD and clinical response to treatment on a 5-point scale (0 = clear; 1 = almost clear; 2 = mild; 3 = moderate; 4 = severe) based on erythema and papulation/infiltration. Therapeutic response was an IGA score of 0 (clear) or 1 (almost clear).
Percent Change in Investigator's Global Assessment (IGA) Score From Day 1 (Baseline) to Day 29 (Week 4) - Censored LOCFBaseline up to Day 29IGA was an assessment scale used to determine severity of AD and clinical response to treatment on a 5-point scale (0 = clear; 1 = almost clear; 2 = mild; 3 = moderate; 4 = severe) based on erythema and papulation/infiltration. Therapeutic response was an IGA score of 0 (clear) or 1 (almost clear). The efficacy data were set to missing after prohibited medication was used or after the participant was discontinued from the study. Then, all missing values were imputed by simple LOCF.
Percent Change in Eczema Area and Severity Index (EASI) Score From Day 1 (Baseline) to Day 29 (Week 4) - Censored LOCFBaseline up to Day 29EASI score was used to measure the severity and extent of atopic dermatitis (AD) and measures erythema, infiltration, excoriation and lichenification on 4 anatomic regions of the body: head, trunk, upper and lower extremities. The total EASI score ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD. The efficacy data were set to missing after prohibited medication was used or after the participant was discontinued from the study. Then, all missing values were imputed by simple LOCF.

Countries

Germany, Hungary, Poland

Participant flow

Recruitment details

A total of 38 participants were screened in the study between 30 July 2012 and 20 December 2012.

Pre-assignment details

Out of 38 participants, 31 were randomized and treated in the study. Participants were randomized in 2:1 ratio to receive Dupilumab 300 mg or Placebo.

Participants by arm

ArmCount
Placebo
Placebo (for REGN668) once weekly for 4 weeks by subcutaneous injection with the background therapy of potent TCS for up to 28 days.
10
REGN668 300 mg
REGN668 300 mg once weekly for 4 weeks by subcutaneous injection with the background therapy of potent TCS for up to 28 days
21
Total31

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event10

Baseline characteristics

CharacteristicTotalPlaceboREGN668 300 mg
Age, Continuous36.6 years
STANDARD_DEVIATION 13.01
37.8 years
STANDARD_DEVIATION 16.73
36.0 years
STANDARD_DEVIATION 11.26
Eczema Area and Severity Index (EASI) Score23.4 units on a scale
STANDARD_DEVIATION 12.26
24.1 units on a scale
STANDARD_DEVIATION 12.7
23.1 units on a scale
STANDARD_DEVIATION 12.35
Investigator's Global Assessment (IGA) Score3.4 units on a scale
STANDARD_DEVIATION 0.55
3.4 units on a scale
STANDARD_DEVIATION 0.47
3.4 units on a scale
STANDARD_DEVIATION 0.6
Pruritus Numerical Rating Scale (NRS) score6.0 units on a scale
STANDARD_DEVIATION 1.93
5.0 units on a scale
STANDARD_DEVIATION 1.39
6.4 units on a scale
STANDARD_DEVIATION 2
Sex: Female, Male
Female
18 Participants5 Participants13 Participants
Sex: Female, Male
Male
13 Participants5 Participants8 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
7 / 108 / 21
serious
Total, serious adverse events
1 / 100 / 21

Outcome results

Primary

Percentage of Participants With Treatment Emergent Adverse Events (TEAEs)

Any untoward medical occurrence in a subject who received investigational medicinal product (IMP) was considered an AE without regard to possibility of causal relationship with this treatment. Treatment-emergent adverse events (TEAEs) were defined as AEs that developed or worsened or became serious during on-treatment period (from start of administration of first dose of study drug to the end of study \[up to Day 78\]). A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in any of following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. Any TEAE included participants with both serious and non-serious AEs.

Time frame: Baseline up to the end of study (up to Day 78)

Population: Safety population included all randomized participants who received any study drug; based on the treatment received (as treated).

ArmMeasureGroupValue (NUMBER)
Placebo QWPercentage of Participants With Treatment Emergent Adverse Events (TEAEs)With at least one TEAE70.0 percentage of participants
Placebo QWPercentage of Participants With Treatment Emergent Adverse Events (TEAEs)With serious TEAEs10.0 percentage of participants
Placebo QWPercentage of Participants With Treatment Emergent Adverse Events (TEAEs)With study drug related TEAEs40.0 percentage of participants
Placebo QWPercentage of Participants With Treatment Emergent Adverse Events (TEAEs)With TEAEs resulting in study discontinuation10.0 percentage of participants
Dupilumab 300 mg QWPercentage of Participants With Treatment Emergent Adverse Events (TEAEs)With study drug related TEAEs28.6 percentage of participants
Dupilumab 300 mg QWPercentage of Participants With Treatment Emergent Adverse Events (TEAEs)With at least one TEAE57.1 percentage of participants
Dupilumab 300 mg QWPercentage of Participants With Treatment Emergent Adverse Events (TEAEs)With TEAEs resulting in study discontinuation0 percentage of participants
Dupilumab 300 mg QWPercentage of Participants With Treatment Emergent Adverse Events (TEAEs)With serious TEAEs0 percentage of participants
Other Pre-specified

Percentage of Participants Achieving an Investigator's Global Assessment (IGA) Score of 0 or 1 at Day 29

IGA was an assessment scale used to determine severity of AD and clinical response to treatment on a 5-point scale (0 = clear; 1 = almost clear; 2 = mild; 3 = moderate; 4 = severe) based on erythema and papulation/infiltration. Therapeutic response was an IGA score of 0 (clear) or 1 (almost clear).

Time frame: Day 29

Population: FAS included all randomized participants who received at least 1 dose of study medication and had at least 1 post-baseline assessment; it was based on the treatment allocated (as randomized).

ArmMeasureValue (NUMBER)
Placebo QWPercentage of Participants Achieving an Investigator's Global Assessment (IGA) Score of 0 or 1 at Day 2930.0 percentage of participants
Dupilumab 300 mg QWPercentage of Participants Achieving an Investigator's Global Assessment (IGA) Score of 0 or 1 at Day 2952.4 percentage of participants
Other Pre-specified

Percentage of Participants Achieving Eczema Area and Severity Index (EASI) Score: Reduction of ≥50 at Day 29 - Censored Last Observation Carried Forward (LOCF)

The EASI score was used to measure the severity and extent of atopic dermatitis (AD) and measures erythema, infiltration, excoriation and lichenification on 4 anatomic regions of the body: head, trunk, upper and lower extremities. The total EASI score range from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD. The efficacy data were set to missing after prohibited medication was used or after the participant was discontinued from the study. Then, all missing values were imputed by simple LOCF.

Time frame: Day 29

Population: Full analysis set (FAS) included all randomized participants who received at least 1 dose of study medication and had at least 1 post-baseline assessment; it was based on the treatment allocated (as randomized).

ArmMeasureValue (NUMBER)
Placebo QWPercentage of Participants Achieving Eczema Area and Severity Index (EASI) Score: Reduction of ≥50 at Day 29 - Censored Last Observation Carried Forward (LOCF)50.0 percentage of participants
Dupilumab 300 mg QWPercentage of Participants Achieving Eczema Area and Severity Index (EASI) Score: Reduction of ≥50 at Day 29 - Censored Last Observation Carried Forward (LOCF)100.0 percentage of participants
Other Pre-specified

Percent Change in Eczema Area and Severity Index (EASI) Score From Day 1 (Baseline) to Day 29 (Week 4) - Censored LOCF

EASI score was used to measure the severity and extent of atopic dermatitis (AD) and measures erythema, infiltration, excoriation and lichenification on 4 anatomic regions of the body: head, trunk, upper and lower extremities. The total EASI score ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD. The efficacy data were set to missing after prohibited medication was used or after the participant was discontinued from the study. Then, all missing values were imputed by simple LOCF.

Time frame: Baseline up to Day 29

Population: FAS included all randomized participants who received at least 1 dose of study medication and had at least 1 post-baseline assessment; it was based on the treatment allocated (as randomized).

ArmMeasureValue (MEAN)Dispersion
Placebo QWPercent Change in Eczema Area and Severity Index (EASI) Score From Day 1 (Baseline) to Day 29 (Week 4) - Censored LOCF-52.5 percent ChangeStandard Deviation 39.53
Dupilumab 300 mg QWPercent Change in Eczema Area and Severity Index (EASI) Score From Day 1 (Baseline) to Day 29 (Week 4) - Censored LOCF-75.6 percent ChangeStandard Deviation 13.29
Other Pre-specified

Percent Change in Investigator's Global Assessment (IGA) Score From Day 1 (Baseline) to Day 29 (Week 4) - Censored LOCF

IGA was an assessment scale used to determine severity of AD and clinical response to treatment on a 5-point scale (0 = clear; 1 = almost clear; 2 = mild; 3 = moderate; 4 = severe) based on erythema and papulation/infiltration. Therapeutic response was an IGA score of 0 (clear) or 1 (almost clear). The efficacy data were set to missing after prohibited medication was used or after the participant was discontinued from the study. Then, all missing values were imputed by simple LOCF.

Time frame: Baseline up to Day 29

Population: FAS included all randomized participants who received at least 1 dose of study medication and had at least 1 post-baseline assessment; it was based on the treatment allocated (as randomized).

ArmMeasureValue (MEAN)Dispersion
Placebo QWPercent Change in Investigator's Global Assessment (IGA) Score From Day 1 (Baseline) to Day 29 (Week 4) - Censored LOCF-30.6 percent changeStandard Deviation 39
Dupilumab 300 mg QWPercent Change in Investigator's Global Assessment (IGA) Score From Day 1 (Baseline) to Day 29 (Week 4) - Censored LOCF-52.5 percent changeStandard Deviation 21.44
Other Pre-specified

Percent Change in Pruritus Numerical Rating Scale (NRS) From Day 1 (Baseline) to Day 29 (Week 4)

Pruritus NRS was an assessment tool that was used to report the intensity of participant's pruritus (itch), both maximum and average intensity, during a 24-hour recall period. Participants were asked the following question: how would a participant rate his itch at the worst moment during the previous 24 hours (for maximum itch intensity on a scale of 0 - 10 \[0 = no itch; 10 = worst itch imaginable\]).

Time frame: Baseline up to Day 29

Population: FAS included all randomized participants who received at least 1 dose of study medication and had at least 1 post-baseline assessment; it was based on the treatment allocated (as randomized).

ArmMeasureValue (MEAN)Dispersion
Placebo QWPercent Change in Pruritus Numerical Rating Scale (NRS) From Day 1 (Baseline) to Day 29 (Week 4)-24.7 percent changeStandard Deviation 47.3
Dupilumab 300 mg QWPercent Change in Pruritus Numerical Rating Scale (NRS) From Day 1 (Baseline) to Day 29 (Week 4)-70.7 percent changeStandard Deviation 21.45

Source: ClinicalTrials.gov · Data processed: Mar 7, 2026