A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Dose-Ranging Study Investigating the Efficacy, Safety, Pharmacokinetic and Biomarker Profiles of Dupilumab (REGN668) Administered to Adult Patients With Moderate-to-Severe Atopic Dermatitis
Overview
- Phase
- Phase 2
- Intervention
- Placebo
- Conditions
- Atopic Dermatitis
- Sponsor
- Regeneron Pharmaceuticals
- Enrollment
- 380
- Primary Endpoint
- Percent Change in Eczema Area and Severity Index Score (EASI) From Baseline to Week 16
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
To assess the efficacy of multiple dupilumab dose-regimens, compared to placebo, in adult participants with moderate-to-severe atopic dermatitis (AD).
Investigators
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Arms & Interventions
Placebo qw
Two subcutaneous injections of Placebo (for Dupilumab) as a loading dose on Day 1 followed by a single injection every week (qw) from Week 1 to Week 15.
Intervention: Placebo
Dupilumab 300 mg qw
Two subcutaneous injections of Dupilumab 300 mg (for a total of 600 mg) as a loading dose on Day 1, followed by a single 300 mg injection qw from Week 1 to Week 15.
Intervention: Dupilumab
Dupilumab 300 mg q2w
Two subcutaneous injections of Dupilumab 300 mg (for a total of 600 mg) as a loading dose on Day 1, followed by a single injection of Placebo (for Dupilumab) alternating with single 300 mg injection of Dupilumab every 2 weeks (q2w) from Week 1 to Week 15.
Intervention: Dupilumab
Dupilumab 300 mg q2w
Two subcutaneous injections of Dupilumab 300 mg (for a total of 600 mg) as a loading dose on Day 1, followed by a single injection of Placebo (for Dupilumab) alternating with single 300 mg injection of Dupilumab every 2 weeks (q2w) from Week 1 to Week 15.
Intervention: Placebo
Dupilumab 200 mg q2w
Two subcutaneous injections of Dupilumab 200 mg (for a total of 400 mg) as a loading dose on Day 1, followed by a single injection of Placebo (for Dupilumab) alternating with single 200 mg injection of Dupilumab q2w from Week 1 to Week 15.
Intervention: Dupilumab
Dupilumab 200 mg q2w
Two subcutaneous injections of Dupilumab 200 mg (for a total of 400 mg) as a loading dose on Day 1, followed by a single injection of Placebo (for Dupilumab) alternating with single 200 mg injection of Dupilumab q2w from Week 1 to Week 15.
Intervention: Placebo
Dupilumab 300 mg q4w
Two subcutaneous injections of Dupilumab 300 mg (for a total of 600 mg) as a loading dose on Day 1, followed by a single 300 mg injection of Dupilumab every 4 weeks (q4w) and Placebo (for Dupilumab) qw when Dupilumab not administered from Week 1 to Week 15.
Intervention: Dupilumab
Dupilumab 300 mg q4w
Two subcutaneous injections of Dupilumab 300 mg (for a total of 600 mg) as a loading dose on Day 1, followed by a single 300 mg injection of Dupilumab every 4 weeks (q4w) and Placebo (for Dupilumab) qw when Dupilumab not administered from Week 1 to Week 15.
Intervention: Placebo
Dupilumab 100 mg q4w
Two subcutaneous injections of Dupilumab 200 mg (for a total of 400 mg) as a loading dose on Day 1, followed by a single 100 mg injection of Dupilumab q4w and Placebo (for Dupilumab) qw when Dupilumab not administered from Week 1 to Week 15.
Intervention: Dupilumab
Dupilumab 100 mg q4w
Two subcutaneous injections of Dupilumab 200 mg (for a total of 400 mg) as a loading dose on Day 1, followed by a single 100 mg injection of Dupilumab q4w and Placebo (for Dupilumab) qw when Dupilumab not administered from Week 1 to Week 15.
Intervention: Placebo
Outcomes
Primary Outcomes
Percent Change in Eczema Area and Severity Index Score (EASI) From Baseline to Week 16
Time Frame: Baseline to Week 16
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.
Secondary Outcomes
- Percentage of Participants Who Achieved Investigator's Global Assessment (IGA) Response at Week 16(Week 16)
- Percentage of Participants Who Achieved IGA Score Reduction of ≥2 at Week 16(Week 16)
- Percent Change in Peak Weekly Averaged Pruritus Numerical Rating Scores (NRS) From Baseline to Week 16(Baseline to Week 16)
- Absolute Change in Peak Weekly Averaged Pruritus NRS From Baseline to Week 16(Baseline to Week 16)
- Absolute Change in EASI Score From Baseline to Week 16(Baseline to Week 16)
- Percent Change in SCORing Atopic Dermatitis (SCORAD) Scores From Baseline to Week 16(Baseline to Week 16)
- Absolute Change in SCORAD Scores From Baseline to Week 16(Baseline to Week 16)
- Percentage of Participants Who Achieved 50%, 75% and 90% Reduction From Baseline in EASI Score (EASI-50, EASI-75 and EASI-90 Respectively) at Week 16(Week 16)
- Percentage of Participants Who Achieved 50%, 75% and 90% Reduction From Baseline in SCORAD Score (SCORAD-50, SCORAD-75 and SCORAD-90 Respectively) at Week 16(Week 16)
- Percent Change in Patient Oriented Eczema Measure (POEM) Scores From Baseline to Week 16(Baseline to Week 16)
- Absolute Change in POEM Scores From Baseline to Week 16(Baseline to Week 16)
- Changes in Global Individual Signs Score (GISS) Components (Erythema, Infiltration/Papulation, Excoriations, and Lichenification) From Baseline to Week 16(Baseline to Week 16)
- Changes in GISS Cumulative Score From Baseline to Week 16(Baseline to Week 16)