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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01385657
Registration number
NCT01385657
Ethics application status
Date submitted
9/06/2011
Date registered
30/06/2011
Date last updated
26/02/2020
Titles & IDs
Public title
Safety and Tolerability of Dupilumab in Participants With Moderate to Severe Atopic Dermatitis
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Scientific title
A Randomized, Double-Blind, Placebo-Controlled, Sequential Ascending, Repeated-Dose Study of the Safety, Tolerability, and Pharmacokinetics of Subcutaneous REGN668 in Patients With Moderate-to-Severe Atopic Dermatitis
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Secondary ID [1]
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R668-AD-1026
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Atopic Dermatitis
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Condition category
Condition code
Skin
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Dermatological conditions
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Skin
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Other skin conditions
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Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Placebo
Treatment: Drugs - Dupilumab
Other interventions - Background treatment
Experimental: Placebo - Placebo (for Dupilumab) as a single subcutaneous (SC) injection on Day 1, 8, 15, and 22
Experimental: Dupilumab 150 mg - Dupilumab 150 mg as a single SC injection on Day 1, 8, 15, and 22
Experimental: Dupilumab 300 mg - Dupilumab 300 mg as a single SC injection on Day 1, 8, 15, and 22
Treatment: Drugs: Placebo
A total of 4 doses were administered.
Treatment: Drugs: Dupilumab
A total of 4 doses were administered.
Other interventions: Background treatment
Participants were required to apply stable doses of an additive-free, basic bland emollient on the affected areas of the skin twice daily throughout the study.
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Percentage of Participants With Treatment Emergent Adverse Events (TEAEs)
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Assessment method [1]
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An adverse event (AE) was defined as any untoward medical occurrence in a participant who received investigational medicinal product (IMP) without regard to possibility of causal relationship with the treatment. An AE was any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of a study drug, whether or not considered related to the study drug. A serious adverse event (SAE) was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was considered as medically important event. TEAEs were defined as AEs that developed or worsened or became serious during on-treatment period (time from the first dose of study drug up to the end of study visit \[Day 85\]). Any TEAE included participants with both serious and non-serious AEs.
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Timepoint [1]
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Baseline up to end of study (up to Day 85)
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Secondary outcome [1]
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Pharmacokinetics of Dupilumab: Peak Plasma Concentration (Cmax)
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Assessment method [1]
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Maximum Plasma Concentration of functional Dupilumab observed following the fourth (last) dose.
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Timepoint [1]
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Day 22 (pre-dose), 25, 29, 36, 43, 50, 57, 64, 71 and Day 85
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Secondary outcome [2]
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Pharmacokinetics of Dupilumab: Last Positive (Quantifiable) Concentration (Clast)
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Assessment method [2]
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Last Positive (Quantifiable) Concentration of Dupilumab.
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Timepoint [2]
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Day 22 (pre-dose), 25, 29, 36, 43, 50, 57, 64, 71 and Day 85
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Secondary outcome [3]
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Pharmacokinetics of Dupilumab: Time of the Last Positive (Quantifiable) Concentration (Tlast)
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Assessment method [3]
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Mean time of last measurable concentration of Dupilumab in actual days.
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Timepoint [3]
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Day 22 (pre-dose), 25, 29, 36, 43, 50, 57, 64, 71 and Day 85
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Eligibility
Key inclusion criteria
1. Male or female, 18 years or older;
2. Chronic AD diagnosed by the Eichenfield revised criteria of Hannifin and Rajka that had been present for at least 3 years before the screening visit;
3. Eczema Area and Severity Index (EASI) score = 12 at the screening and baseline visits;
4. Investigator's Global Assessment (IGA) score = 3 at the screening and baseline visits;
5. = 10% body surface area (BSA) of AD involvement at the screening and baseline visits;
6. History of inadequate response to a stable (= 1 month) regimen of topical corticosteroids or calcineurin inhibitors as treatment for AD within 3 months before the screening visit.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Positive Hepatitis B surface antigen, and/or positive Hepatitis C antibody at the screening visit;
2. Treatment with an investigational drug within 8 weeks or within 5 half-lives, if known, whichever is longer, before the baseline visit;
3. Treatment with leukotriene inhibitors within 4 weeks before the baseline visit;
4. Treatment with systemic corticosteroids within 4 weeks before the baseline visit;
5. Treatment with topical corticosteroids, tacrolimus, and/or pimecrolimus within 1 week before the baseline visit;
6. Systemic treatment for AD with an immunosuppressive/immunomodulating substance within 4 weeks before the baseline visit;
7. Chronic or acute infection requiring treatment with oral or IV antibiotics, antivirals, or antifungals within 4 weeks before the screening visit or superficial skin infections within 1 week before the screening visit;
8. Known history of human immunodeficiency virus (HIV) infection;
9. History of clinical parasite infection, other than treated trichomoniasis;
10. History of malignancy within 5 years before the baseline visit, with the following exceptions: participants with a history of completely treated carcinoma in-situ of cervix, and non-metastatic squamous or basal cell carcinoma of the skin were allowed;
11. Any medical or psychiatric condition which, in the opinion of the investigator or the sponsor's medical monitor, would place the participant at risk, interfere with participation in the study, or interfere with the interpretation of study results;
12. Pregnant or breast-feeding women;
13. Unwilling to use adequate birth control, if of reproductive potential and sexually active.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
31/07/2011
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
31/03/2012
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Sample size
Target
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Accrual to date
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Final
37
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC,WA
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Recruitment hospital [1]
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- Kogarah
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Recruitment hospital [2]
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- Woolloongabba
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Recruitment hospital [3]
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- Carlton
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Recruitment hospital [4]
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- Nedlands
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Recruitment postcode(s) [1]
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- Kogarah
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Recruitment postcode(s) [2]
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- Woolloongabba
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Recruitment postcode(s) [3]
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- Carlton
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Recruitment postcode(s) [4]
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- Nedlands
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Recruitment outside Australia
Country [1]
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Germany
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State/province [1]
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Niedersachsen
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Country [2]
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Germany
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State/province [2]
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Nordrhein-Westfalen
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Country [3]
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Germany
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State/province [3]
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Berlin
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Country [4]
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Germany
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State/province [4]
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Gera
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Country [5]
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Germany
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State/province [5]
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Munster
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Country [6]
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New Zealand
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State/province [6]
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Christchurch
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Country [7]
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New Zealand
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State/province [7]
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Dunedin
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Country [8]
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New Zealand
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State/province [8]
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Auckland
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Regeneron Pharmaceuticals
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Address
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Country
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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Sanofi
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to assess the safety and tolerability of repeated subcutaneous (SC) doses of Dupilumab in participants with moderate-to-severe atopic dermatitis (AD).
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Trial website
https://clinicaltrials.gov/study/NCT01385657
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Trial related presentations / publications
Hamilton JD, Suarez-Farinas M, Dhingra N, Cardinale I, Li X, Kostic A, Ming JE, Radin AR, Krueger JG, Graham N, Yancopoulos GD, Pirozzi G, Guttman-Yassky E. Dupilumab improves the molecular signature in skin of patients with moderate-to-severe atopic dermatitis. J Allergy Clin Immunol. 2014 Dec;134(6):1293-1300. doi: 10.1016/j.jaci.2014.10.013. Beck LA, Thaci D, Hamilton JD, Graham NM, Bieber T, Rocklin R, Ming JE, Ren H, Kao R, Simpson E, Ardeleanu M, Weinstein SP, Pirozzi G, Guttman-Yassky E, Suarez-Farinas M, Hager MD, Stahl N, Yancopoulos GD, Radin AR. Dupilumab treatment in adults with moderate-to-severe atopic dermatitis. N Engl J Med. 2014 Jul 10;371(2):130-9. doi: 10.1056/NEJMoa1314768.
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Public notes
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Contacts
Principal investigator
Name
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Clinical Trial Management
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Address
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Regeneron Pharmaceuticals
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Hamilton JD, Suarez-Farinas M, Dhingra N, Cardinal...
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Journal
Beck LA, Thaci D, Hamilton JD, Graham NM, Bieber T...
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More Details
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Results not provided in
https://clinicaltrials.gov/study/NCT01385657
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