A Study of Long-term Effect of Dupilumab on Skin Barrier Function in Pediatric Participants With Atopic Dermatitis

Last updated: May 14, 2025
Sponsor: Sanofi
Overall Status: Active - Not Recruiting

Phase

4

Condition

Dermatitis, Atopic

Allergy

Scalp Disorders

Treatment

dupilumab

Clinical Study ID

NCT05983068
LPS17764
U1111-1280-5813
LPS17764
  • Ages 6-14
  • All Genders

Study Summary

This is a 2-year, open-label, exploratory study with a 4-week screening period and a 104-week treatment phase designed to investigate dupilumab's long-term effect on skin barrier function as measured by transepidermal water loss (TEWL) before and after skin tape stripping (STS) in approximately 48 pediatric participants (aged ≥6 and <15 years at study entry) with moderate-to-severe AD. All eligible participants with AD will be treated with Dupixent® for 104 weeks according to locally approved Dupixent® product label (in country/region where the study is conducted). After the 104-week treatment phase and the last assessment at the End of Treatment (EoT), participants will be followed-up for 4 weeks and an End-of-Study (EoS) visit by telephone at 4 weeks after the EoT visit will end the study for each participant. The maximum duration of the study per participant will be 112 weeks (including screening period).

The study population will include approximately 48 pediatric participants with AD for long-term treatment with dupilumab:

  • Treatment cohort 1 - newly recruited participants with AD (aged ≥6 to <12 years at study entry)

  • Treatment cohort 2 - any former PELISTAD participants (from the previous 16-week treatment study [PELISTAD/LPS16764] who consent to participate in this long-term study; aged ≥6 to <15 years at entry to this study)

Eligibility Criteria

Inclusion

Inclusion Criteria:

Age

  • For new participants: ≥6 to <12 years of age (inclusive), at the time of signing theinformed consent.

  • For former PELISTAD participants: ≥6 to <15 years of age at the time of signing theinformed consent.

Type of participant and disease characteristics

  • With AD diagnosis according to Hanifin and Rajka criteria at least 1 year beforescreening.

  • Applicable to new participants only: Validated Investigator Global Assessment for AD (vIGA AD™) score of ≥3 (for US and Canada participants) or ≥4 (for UK participants)at screening (on the 0 to 4 scale) depending on the approved vIGA-AD™ labelindication in the country.

  • Applicable to new participants only: Have active lesions on the upper limbs or lowerlimbs (including trunk, if needed), with severity for lesion erythema oredema/papulation ≥2 at screening on the 0 to 3 scale of the ISS.

  • Applicable to all participants: Should have a non-lesional (normal looking) skinarea 4 cm from the edge of the lesional area. If unable to identify non-lesionalskin 4 cm from the lesional area, it is acceptable to identify normal looking skinas close to the lesion as possible.

  • Willing to refrain from applying any topical medications on the target assessmentareas (including lesional and non-lesional) throughout the study until EoS unlessnecessary to alleviate intolerable symptoms.

  • Willing and able to comply with all clinic visits and study-related procedures.Weight

  • Body weight ≥15 kg at screening.

Exclusion

Exclusion Criteria:

Medical conditions

  • Skin conditions other than AD that can confound assessments in the area of TEWLassessments in the opinion of the Investigator (ie, skin atrophy, ichthyosis, tineainfection, contact dermatitis).

  • Cracked, crusted, oozing, or bleeding AD lesions in the designated lesionalassessment area leaving insufficient skin that is adequate for TEWL assessments.

  • Hypersensitivity to the active substance or to any of the excipients of dupilumab.

  • Ocular disorder that in the opinion of the Investigator could adversely affect theindividual's risk for study participation.

  • Severe concomitant illness(es) that, in the Investigator's judgment, would adverselyaffect the participant's participation in the study.

  • History of hypersensitivity reaction to skin tape or adhesives used in tape stripdiscs.

Prior/concomitant therapy

  • Treatment with any investigational medication other than dupilumab within 16 weeksor within 5 half-lives (if known) prior to Day 1, whichever is longer.

  • Systemic AD treatment, cyclosporine A (CsA), systemic corticosteroids, azathioprine (AZA), methotrexate (MTX), mycophenolate mofetil (MMF), or Janus kinase (JAK)inhibitors or phototherapy within 4 weeks of baseline.

  • Topical AD treatment within 1 week of baseline. Face and neck may be treated withtopical steroids during the washout period if approved by the Investigator.

  • Participants who received a live vaccine within 4 weeks of baseline.Prior/concurrent clinical study experience

  • Current participation in another investigational or interventional clinical study.

The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.

Study Design

Total Participants: 48
Treatment Group(s): 1
Primary Treatment: dupilumab
Phase: 4
Study Start date:
February 22, 2024
Estimated Completion Date:
August 07, 2026

Study Description

Study duration for each participant will be approximately 112 weeks, including:

  • Screening period: Up to 4 weeks (Day -28 to Day -1) from signing the informed consent.

  • Open-label dupilumab treatment period: 104 weeks (from Day 1/Week 0 to Week 104).

  • Follow-up period: 4 weeks (safety follow-up phone visit at 4 weeks after the EoT visit).

Connect with a study center

  • Investigational Site Number : 8260001

    Sheffield, S10 2TH
    United Kingdom

    Site Not Available

  • National Jewish Center Site Number : 8400001

    Denver, Colorado 80206
    United States

    Active - Recruiting

  • National Jewish Health Medical Center- Site Number : 8400001

    Denver, Colorado 80206
    United States

    Site Not Available

  • SSM Health Saint Louis University Hospital- Site Number : 8400006

    Saint Louis, Missouri 63104
    United States

    Site Not Available

  • St. Louis University SLUCare Academic Pavilion Site Number : 8400006

    Saint Louis, Missouri 63110
    United States

    Active - Recruiting

  • NYU Langone Medical Center- Site Number : 8400004

    New York, New York 10016
    United States

    Site Not Available

  • New York University Langone Health Site Number : 8400004

    New York, New York 10016
    United States

    Active - Recruiting

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