MedPath

Assessment of the Safety and Efficacy of Dupilumab in Children With Asthma (Liberty Asthma Excursion)

Phase 3
Completed
Conditions
Asthma
Interventions
Drug: Asthma controller therapies (incl. prednisone/prednisolone)
Drug: Asthma reliever therapies
Registration Number
NCT03560466
Lead Sponsor
Sanofi
Brief Summary

Primary Objective:

* To evaluate the long-term safety and tolerability of dupilumab in pediatric patients with asthma who participated in a previous dupilumab asthma clinical study.

* To evaluate the efficacy of dupilumab in children of 6 to \<12 years of age with uncontrolled persistent asthma in the Japan sub-study.

Secondary Objectives:

* To evaluate the long-term efficacy of dupilumab in pediatric patients with asthma who participated in a previous dupilumab asthma clinical study.

* To evaluate dupilumab in pediatric patients with asthma who participated in a previous dupilumab asthma clinical study with regard to:

* Systemic exposure.

* Anti-drug antibodies (ADAs).

* Biomarkers.

* To evaluate the safety and tolerability of dupilumab in pediatric patients with asthma in the Japan sub-study

* To evaluate dupilumab in pediatric patients with asthma in the Japan substudy with regard to:

* Systemic exposure,

* Anti-drug antibodies (ADAs),

* Biomarkers

Detailed Description

Study duration per participant is approximatively 64 weeks including a 52 weeks treatment period and 12 weeks post treatment follow-up.

Japan substudy:

Study duration per participant is approximately 68 weeks including 3-5 weeks screening period, 52 weeks treatment period and 12 weeks post treatment follow-up period.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
365
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
DupilumabDupilumab (SAR231893/REGN668)Doses of dupilumab will be administered every 2 weeks or every 4 weeks added to current controller medications for 52 weeks
DupilumabAsthma controller therapies (incl. prednisone/prednisolone)Doses of dupilumab will be administered every 2 weeks or every 4 weeks added to current controller medications for 52 weeks
DupilumabAsthma reliever therapiesDoses of dupilumab will be administered every 2 weeks or every 4 weeks added to current controller medications for 52 weeks
Primary Outcome Measures
NameTimeMethod
The number of patients experiencing any treatment emergent adverse event (TEAE)From Day 1 up to Week 64

The number of patients experiencing any TEAE.

Japan sub-study: Change from baseline in pre-bronchodilator percentage (%) predicted FEV1 at Week 12Baseline to Week 12

Change from baseline in pre-bronchodilator percentage (%) predicted forced expiratory volume in 1 second (FEV1) at week 12.

Secondary Outcome Measures
NameTimeMethod
Annualized rate of severe asthma exacerbation events during the treatment periodFrom Day 1 up to Week 52

Annualized rate of severe asthma exacerbation events during the treatment period.

Change from baseline in absolute FEV1Baseline to Week 64

Change from baseline in absolute FEV1.

Change from baseline in % predicted FEV1Baseline to Week 64

Change from baseline in % predicted FEV1.

Change from baseline in FVCBaseline to Week 64

Change from baseline in forced vital capacity (FVC).

Change from baseline in FEF 25 to 75%Baseline to Week 64

Change from baseline in forced expiratory flow (FEF) 25-75%.

Serum dupilumab concentrationsFrom Day 1 up to Week 64

Serum dupilumab concentrations.

Incidence of treatment-emergent antidrug antibodies (ADA) against dupilumabFrom Day 1 up to Week 64

Incidence of treatment-emergent ADA against dupilumab.

Blood eosinophil countsFrom Day 1 up to Week 64

Blood eosinophil counts.

Serum total IgEFrom Day 1 up to Week 64

Serum total IgE.

Japan sub-study: Annualized rate of severe asthma exacerbation events during the treatment periodFrom Day 1 up to Week 52

Annualized rate of severe asthma exacerbation events, during the treatment period.

Japan sub-study: Change from baseline in pre-bronchodilator % predicted FEV1 at Weeks 2, 4, 8, 24, 52, and 64Baseline to Week 2, 4, 8, 24, 52 and 64

Change from baseline in pre-bronchodilator % predicted FEV1 at Weeks 2, 4, 8, 24, 52, and 64.

Japan sub-stud: Change from baseline in absolute FEV1Baseline to Week 2, 4, 8, 12, 24, 52 and 64

Change from baseline in absolute FEV1.

Japan sub-study: Change from baseline in FVCBaseline to Week 2, 4, 8, 12, 24, 52 and 64

Change from baseline in FVC.

Japan sub-study: Change from baseline in FEF 25-75%Baseline to Week 2, 4, 8, 12, 24, 52 and 64

Change from baseline in FEF 25-75%.

Japan sub-study: Change from baseline in ACQ-IABaseline to Week 2, 4, 8, 12, 24, 36, 52, and 64

Change from baseline in Asthma Control Questionnaire-Interviewer Administered (ACQ-IA).

Japan sub-study: The number of patients experiencing any TEAEsFrom Day 1 up to Week 64

The number of patients experiencing any TEAEs.

Japan sub-study: Serum dupilumab concentrationsFrom Day 1 up to week 64

Serum dupilumab concentrations.

Japan sub-study: Incidence of treatment-emergent ADA against dupilumabFrom Day 1 up to Week 64

Incidence of treatment-emergent ADA against dupilumab.

Japan sub-study: Serum total immunoglobulin E (IgE)From Day 1 up to Week 64

Serum total immunoglobulin E (IgE).

Japan sub-study: Change from Baseline in FeNOBaseline to Weeks 2, 4, 8, 12, 24, 52, and 64

Change from Baseline in Fractional Exhaled Nitric Oxide (FeNO).

Trial Locations

Locations (81)

Investigational Site Number : 6430005

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St Petersburg, Russian Federation

Investigational Site Number : 6430003

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St. Petersburg, Russian Federation

Investigational Site Number : 7100001

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Cape Town, South Africa

Investigational Site Number : 4400004

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Vilnius, Lithuania

Investigational Site Number : 0320003

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Buenos Aires, Argentina

Investigational Site Number : 0320006

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Mendoza, Argentina

Investigational Site Number : 1240003

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Quebec, Canada

Investigational Site Number : 1520001

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Valdivia, Los Ríos, Chile

Investigational Site Number : 1520005

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Santiago, Reg Metropolitana De Santiago, Chile

Investigational Site Number : 4840004

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Chihuahua, Mexico

Investigational Site Number : 4840003

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Durango, Durango, Mexico

Investigational Site Number : 4840001

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Monterrey, Nuevo León, Mexico

Investigational Site Number : 4840002

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Veracruz, Mexico

Investigational Site Number : 6160001

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Lodz, Lódzkie, Poland

Investigational Site Number : 6160002

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Poznan, Wielkopolskie, Poland

Investigational Site Number : 6430004

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Perm, Russian Federation

Investigational Site Number : 6430002

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Saint Petersburg, Russian Federation

Investigational Site Number : 6430001

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Saint-Petersburg, Russian Federation

Investigational Site Number : 7240001

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Barcelona, Barcelona [Barcelona], Spain

Investigational Site Number : 7920005

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Adana, Turkey

Investigational Site Number : 7920001

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Ankara, Turkey

Investigational Site Number : 7920003

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İstanbul, Turkey

Investigational Site Number : 7920004

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Istanbul, Turkey

Investigational Site Number : 8040007

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Chernivtsi, Ukraine

Investigational Site Number : 8040004

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Dnipro, Ukraine

Investigational Site Number : 8040005

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Kharkiv, Ukraine

Investigational Site Number : 8040008

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Kryvyi Rig, Ukraine

Investigational Site Number : 8040001

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Kyiv, Ukraine

Investigational Site Number : 8040002

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Zaporizhzhya, Ukraine

Investigational Site Number : 8040003

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Zaporizhzhya, Ukraine

Instituto da Criança of Hospital das Clínicas de São Paulo- Site Number : 0760004

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Sao Paulo, São Paulo, Brazil

Arizona Allergy and Immunology Research- Site Number : 8400002

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Gilbert, Arizona, United States

Asthma and Airway Disease Research Center Site Number : 8400012

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Tucson, Arizona, United States

Peninsula Research Associates Site Number : 8400001

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Rolling Hills Estates, California, United States

Division of Pulmonary Medicine and Allergy Medicine- Site Number : 8400006

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Saint Louis, Missouri, United States

Somnos Clinical Research Site Number : 8400022

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Lincoln, Nebraska, United States

Northwell Health- Site Number : 8400023

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Great Neck, New York, United States

Columbia University Medical Center- Site Number : 8400013

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New York, New York, United States

Rochester Regional Health- Site Number : 8400007

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Rochester, New York, United States

Immunocarolina LLC Site Number : 8400004

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Charlotte, North Carolina, United States

Cincinnati Children's Hospital Medical Center Site Number : 8400008

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Cincinnati, Ohio, United States

Investigational Site Number : 4840006

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Chihuahua, Mexico

OK Clinical Research, LLC- Site Number : 8400024

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Edmond, Oklahoma, United States

Allergy & Asthma Research Center- Site Number : 8400003

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San Antonio, Texas, United States

Investigational Site Number : 0320002

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Caba, Buenos Aires, Argentina

Investigational Site Number : 0320001

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Caba, Buenos Aires, Argentina

Investigational Site Number : 0320004

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Vicente Lopez, Ciudad De Buenos Aires, Argentina

Investigational Site Number : 0360005

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North Adelaide, South Australia, Australia

Irmandade da Santa Casa de Misericordia de Porto Alegre- Site Number : 0760001

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Porto Alegre, Rio Grande Do Sul, Brazil

Hospital Sao Lucas da PUCRS- Site Number : 0760007

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Porto Alegre, Rio Grande Do Sul, Brazil

Unidade Ambulatorial de Pesquisa Clinica I - NGP - UNIFESP- Site Number : 0760002

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Sao Paulo, São Paulo, Brazil

Clinica de Alergia Martti Antila Site Number : 0760006

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Sorocaba, São Paulo, Brazil

Investigational Site Number : 1520009

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Santiago, Reg Metropolitana De Santiago, Chile

Investigational Site Number : 1520007

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Viña del Mar, Valparaíso, Chile

Investigational Site Number : 1520002

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Viña del Mar, Valparaíso, Chile

Investigational Site Number : 1700004

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Antioquia, Colombia

Investigational Site Number : 1700002

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Cali, Colombia

Investigational Site Number : 3480006

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Budapest, Hungary

Investigational Site Number : 3480002

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Gyula, Hungary

Investigational Site Number : 3480012

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Mezökövesd, Hungary

Investigational Site Number : 3480008

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Szigetvár, Hungary

Investigational Site Number : 3480001

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Székesfehérvár, Hungary

Investigational Site Number : 3480003

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Töröbálint, Hungary

Investigational Site Number : 3480007

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Zalaegerszeg, Hungary

Investigational Site Number : 3800003

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Firenze, Italy

Investigational Site Number : 3800004

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Padova, Italy

Investigational Site Number : 3800005

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Roma, Italy

Investigational Site Number : 3920013

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Chiba-shi, Chiba, Japan

Investigational Site Number : 3920016

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Chuo-ku, Chiba, Japan

Investigational Site Number : 3920005

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Yotsukaido-shi, Chiba, Japan

Investigational Site Number : 3920015

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Fukuoka-shi, Fukuoka, Japan

Investigational Site Number : 3920011

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Fukuoka-shi, Fukuoka, Japan

Investigational Site Number : 3920008

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Shibukawa, Gunma, Japan

Investigational Site Number : 3920014

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Onomichi-shi, Hiroshima, Japan

Investigational Site Number : 3920003

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Sapporo-shi, Hokkaido, Japan

Investigational Site Number : 3920012

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Tsu-shi, Mie, Japan

Investigational Site Number : 3920010

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Ureshino-shi, Saga, Japan

Investigational Site Number : 3920009

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Habikino-Shi, Japan

Investigational Site Number : 4400005

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Siauliai, Lithuania

Investigational Site Number : 4400003

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Utena, Lithuania

Investigational Site Number : 4400001

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Vilnius, Lithuania

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