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Clinical Trials/NCT05991323
NCT05991323
Active, Not Recruiting
N/A

A Prospective Observational Study of Patients Receiving Dupilumab for Prurigo Nodularis

Sanofi49 sites in 6 countries100 target enrollmentDecember 12, 2023
InterventionsDupilumab

Overview

Phase
N/A
Intervention
Dupilumab
Conditions
Prurigo Nodularis
Sponsor
Sanofi
Enrollment
100
Locations
49
Primary Endpoint
Frequency of reasons for dupilumab treatment initiation with the description of dosing, frequency and duration of treatment
Status
Active, Not Recruiting
Last Updated
7 months ago

Overview

Brief Summary

This study is a prospective, multinational, observational investigation designed to elucidate the real-world effectiveness and treatment patterns of dupilumab therapy in adult patients diagnosed with prurigo nodularis (PN).

The primary objective of this study is to comprehensively characterize the real-world usage of dupilumab for the management of PN.

In addition to this, the study aims to achieve several secondary objectives, including a detailed assessment of the medical history, socio-demographic and disease characteristics of dupilumab-treated PN patients, as well as the evaluation of the long-term real-world effectiveness of dupilumab therapy for PN.

Detailed Description

The follow-up period will be 18 months or until death, loss to follow-up, or withdrawal, whichever comes first.

Registry
clinicaltrials.gov
Start Date
December 12, 2023
End Date
September 22, 2026
Last Updated
7 months ago
Study Type
Observational
Sex
All

Investigators

Sponsor
Sanofi
Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Patients aged 18 years or older at the time of informed consent.
  • Physician decision to treat the patient with dupilumab for prurigo nodularis (according to the country-specific prescribing information) made prior to and independently of the patient's participation in the study.
  • Patients able to understand and complete study-related questionnaires.
  • Patients provide voluntary informed consent to participate in the study before inclusion in the study.

Exclusion Criteria

  • Patients who have a contraindication to dupilumab according to the country-specific prescribing information label.
  • Any condition that, in the opinion of the Investigator, may interfere with the patient's ability to participate in the study, such as short life expectancy, substance abuse, severe cognitive impairment, or other comorbidities that can predictably prevent the patient from completing the schedule of visits and assessments.
  • Patients currently participating in any interventional clinical trial.
  • Prior use of dupilumab within 6 months of the screening visit, or within 6 months of the baseline visit if screening and baseline occur on the same day.

Arms & Interventions

Patient with prurigo nodularis

Participants aged 18 years or older who start receiving dupilumab for prurigo nodularis (according to the country-specific prescribing information) prior to and independently of their participation in the study

Intervention: Dupilumab

Outcomes

Primary Outcomes

Frequency of reasons for dupilumab treatment initiation with the description of dosing, frequency and duration of treatment

Time Frame: At baseline

Frequency of reasons for dupilumab treatment modifications with the description of the modified treatment

Time Frame: From baseline up to month 18

Proportion of patients who discontinued dupilumab

Time Frame: From baseline up to month 18

Frequency of reasons for dupilumab treatment discontinuation

Time Frame: From baseline up to month 18

Proportion of patients hospitalized due to PN

Time Frame: From baseline up to month 18

Secondary Outcomes

  • Proportion of patients with PGIC score of "Very much better (improved)" or "Moderately better (improved)"(From baseline up to month 18)
  • Baseline Characteristics: PN-related medical history(At baseline)
  • Baseline Characteristics: Socio-demographics of PN patients(At baseline)
  • Baseline Characteristics: Type of PN therapies received prior to initiation of dupilumab treatment(At baseline)
  • Proportion of patients using concomitant medication(At baseline)
  • Proportion of patients with a ≥ four-point improvement (reduction) in Worst Itch Numeric Rating Scale (WI-NRS)(From baseline up to month 18)
  • Mean change in WI-NRS(From baseline up to month 18)
  • Proportion of patients with a ≥ four-point improvement (reduction) in Skin Pain Numeric Rating Scale (NRS)(From baseline up to month 18)
  • Mean change in Skin Pain NRS(From baseline up to month 18)
  • Proportion of patients with a ≥ two-point improvement (reduction) in Sleep Disturbance Numeric Rating Scale (NRS)(From baseline up to month 18)
  • Mean change in Sleep Disturbance NRS(From baseline up to month 18)
  • Proportion of patients with Patient Global Impression of Change of PN Disease (PGIC) score of "Very much better (improved)"(From baseline up to month 18)
  • Mean change in PGIC(From baseline up to month 18)
  • Proportion of patients with Patient Global Impression of Severity of PN Disease (PGIS) score of "None"(From baseline up to month 18)
  • Proportion of patients with PGIS score of "None" or "Mild"(From baseline up to month 18)
  • Mean change in PGIS(From baseline up to month 18)
  • Mean change in Dermatology Life Quality Index (DLQI)(From baseline up to month 18)
  • Mean change in Pruritus Activity Score (PAS)(From baseline up to month 18)
  • Proportion of patients with Investigator's Global Assessment-chronic prurigo Activity (IGA-CPG Activity) score of 0 or 1(From baseline up to month 18)
  • Mean change in IGA-CPG Activity(From baseline up to month 18)
  • Proportion of patients with Investigator's Global Assessment-chronic prurigo Stage (IGA-CPG Stage) score of 0 or 1(From baseline up to month 18)
  • Mean change in IGA-CPG Stage(From baseline up to month 18)
  • Mean change in EQ-5D-5L(From baseline up to month 18)
  • Mean change in Hospital Anxiety and Depression Scale (HADS) total score(From baseline up to month 18)
  • Proportion of patients reported working, absenteeism score, presenteeism score, and overall impairment working score using the Work Productivity and Activity Impairment (WPAI) questionnaire(From baseline up to month 18)
  • Percentage of patients experiencing AEs and SAEs(From baseline up to month 18)

Study Sites (49)

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