MedPath

Regeneron AA Multicenter (Dupilumab)

Phase 2
Recruiting
Conditions
Alopecia Areata
Interventions
Drug: Placebo
Registration Number
NCT05551793
Lead Sponsor
Emma Guttman
Brief Summary

This is a prospective, randomized, double blind, placebo-controlled clinical trial. The study will take place at 4 sites. This trial will enroll a total of 68 patients with moderate to severe AA (affecting more than 50% of the scalp) at the time of screening with a targeted 54 subjects completers through Week 48. AA subjects must have evidence of hair regrowth within the last 7 years of their last episode of hair loss; and have screening IgE ≥ 200 and/or have personal and/or familial history of atopy.

Subjects will be randomized (2:1) to either receive weekly dupilumab or placebo for 48 weeks, with all subjects completing participation through Week 48 receiving an additional 48 weeks of dupilumab (through Week 96).

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
68
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
DupilumabDupilumabDupilumab: weekly 300mg SC injections Manufacturer: Regeneron
PlaceboPlaceboPlacebo: weekly SC injections of equivalent volume Manufacturer: Regeneron
Primary Outcome Measures
NameTimeMethod
Change in the SALT scoreBaseline and Week 48

Changes in the SALT score from baseline compared to week 48. SALT score is the sum of percentage of hair loss in all areas (higher score indicates greater hair loss). The change between baseline and Week 48 will be compared.

Secondary Outcome Measures
NameTimeMethod
Number of patients achieving an absolute SALT score of ≤ 20Week 48

Number of patients achieving an absolute SALT score of ≤ 20. SALT score is the sum of percentage of hair loss in all areas (higher score indicates greater hair loss). Total percentage of patients with absolute SALT score of ≤ 20 will be calculated.

Number of patients achieving improvement in Severity of Alopecia Tool (SALT) scoreWeeks 64 up to 96

SALT score is the sum of percentage of hair loss in all areas (higher score indicates greater hair loss). The proportion of patients achieving at least 30%/50%/75%/90% improvement will be calculated from weeks 64 to week 96.

Change in the Alopecia Areata Symptom Impact Scale (AASIS)Baseline and Week 48

Changes in the Alopecia Areata Symptom Impact Scale (AASIS) from baseline compared to Week 48. AASIS scale measures how the severe the subjects feel their alopecia areata symptoms have been in the past week (scale 0-10 where 0 indicates the symptom was not present and 10 indicates the symptom was as bad as you can imagine), where higher scores indicate worse symptoms.

Change in the Alopecia Areata Quality of Life questionnaire (AA-QoL)Baseline and Week 48

Changes in the Alopecia Areata Quality of Life questionnaire (AA-QoL) from Baseline compared to Week 48. AA-QoL scale measures how severe the subjects feel their alopecia areata symptoms have been in the past week (scale options: very much, a lot, a little, not at all).

Change in Alopecia Areata Physician's Global Assessment (aaPGA) scoresBaseline and Week 48

Changes in Alopecia Areata Physician's Global Assessment (aaPGA) scores from Baseline compared to Week 48. The aaPGA is used to assess the clinical response to treatment based on a 6-point scale ranging from 0 (no regrowth) to 5 (100% regrowth), where higher scores indicate greater hair regrowth. The number of patients with a score of 0 or 1 will be compared.

Difference in Alopecia Areata Physician's Global Assessment (aaPGA) scoresBaseline to Week 48

Difference in Alopecia Areata Physician's Global Assessment (aaPGA) scores between dupilumab-treated group and placebo-treated group from Baseline compared to Week 48. The aaPGA is used to assess the clinical response to treatment based on a 6-point scale ranging from 0 (no regrowth) to 5 (100% regrowth), where higher scores indicate greater hair regrowth. The number of patients with a score of 0 or 1 will be compared.

Change in Eyelash Assessment ScoreWeeks 16 up to 48

Changes in eyelash scores from Weeks 16 through 48. Eyelash Assessment Score measures hair loss. Scale: 0= None, 1= Minimal eyelashes, 2= Moderate eyelashes, 3= Prominent eyelashes, 4= Very prominent eyelashes. Score change from baseline will be calculated, where higher scores indicate greater eyelash loss.

Change in Eyebrow Assessment ScoreWeeks 16 up to 48

Changes in eyebrow scores from Weeks 16 through 48. Eyebrow Assessment Score measures hair loss. Scale: 0= None, 1= Minimal eyebrows, 2= Moderate eyebrows, 3= Prominent eyebrows, 4= Very prominent eyebrows. Score change from baseline will be calculated, where higher scores indicate greater eyebrow loss.

Number of adverse events reportedBaseline up to Week 96

Number of adverse events reported throughout the study. The adverse event will be described and categorized as treatment emergent, serious, abnormal in vital signs, and abnormal in lab parameters.

Trial Locations

Locations (3)

University of California, Irvine

🇺🇸

Irvine, California, United States

UR Dermatology at College Town

🇺🇸

Rochester, New York, United States

Icahn School of Medicine at Mount Sinai

🇺🇸

New York, New York, United States

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