E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Diseases [C] - Immune System Diseases [C20] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10003639 |
E.1.2 | Term | Atopic dermatitis |
E.1.2 | System Organ Class | 10040785 - Skin and subcutaneous tissue disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
• Evaluate changes in skin barrier function with transepidermal water loss (TEWL) assessed after 5 skin tape stripping (STS) in predefined lesional skin in pediatric patients with moderate-to-severe atopic dermatitis (AD) treated with dupilumab. |
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E.2.2 | Secondary objectives of the trial |
• Evaluate changes in skin barrier function with TEWL assessed before and after 10, 15, 20 STS in predefined lesional skin in pediatric patients with moderate-to-severe AD treated with dupilumab |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
AD patients : - Participant must be between ≥6 to <12 years of age inclusive, at the time of signing the informed consent. - Male or female. - Patients with AD diagnosis according to Hanifin and Rajka criteria at least 1 year before screening. - Investigator Global Assessment score of ≥3 (for US patients) or IGA ≥4 (for EU patients) at screening (on the 0 to 4 scale) depending on approved label indication in the country. - Patients with moderate-to-severe AD are eligible to be treated with dupilumab according to product label. - Patients with AD must have active lesions on the upper limbs or lower limbs (including trunk, if needed), with severity for lesion erythema or edema/papulation ≥2 at screening on the 0 to 3 scale of the ISS. - Participants should have a non-lesional (normal looking) skin area 4 cm from the edge of the lesional area. If unable to identify non-lesional skin 4 cm from the lesional area, it is acceptable to identify normal looking skin as close to the lesion as possible. - Willing to refrain from applying any topical medications on the target assessment areas (including lesional and non-lesional) throughout the study until EoS unless necessary to alleviate intolerable symptoms. - Willing to refrain from showers or soak in a bathtub with soaps and body washes within 6 hours before TEWL assessments. - Willing to NOT apply any moisturizers to the areas of the skin that are targeted assessment areas (lesional and non-lesional) during the entire study from Day -7 to Week 28 (EoS). - Willing and able to comply with all clinic visits and study-related procedures. - 15 kg ≤ body weight <60 kg
HEALTHY VOLUNTEERS : - Age and gender matched (match on age ±2 years) to a selected AD patient by study site. - No current dermatologic or systemic condition that could interfere with the assessments. - 15 kg ≤ body weight <60 kg - Male or female
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E.4 | Principal exclusion criteria |
Participants are excluded from the study if any of the following criteria apply:
Medical conditions - Previous treatment with dupilumab within 6 months prior to screening. - Skin conditions other than AD that can confound assessments in the area of TEWL assessments in the opinion of the Investigator (ie, skin atrophy, ichthyosis, tinea infection, contact dermatitis). - Cracked, crusted, oozing, or bleeding AD lesions in the designated lesional assessment 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 the individual’s risk for study participation. - 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 with topical steroids during the washout period if approved by the Investigator. - Severe concomitant illness(es) that, in the Investigator’s judgment, would adversely affect the patient’s participation in the study. - History of hypersensitivity reaction to tape or adhesives used in desquamme discs. - Patients administered live attenuated vaccines within the 4 weeks prior to the baseline visit or need to receive live (attenuated) vaccinations through Week 28.
Prior/concomitant therapy - Treatment with an investigational medication within 16 weeks or within 5 half-lives (if known) prior to Day 1, whichever is longer. - Patients who received a live vaccine within 4 weeks of baseline. Prior/concurrent clinical study experience - Current participation in another investigational or interventional clinical study
Other exclusions - Planned or anticipated major surgical procedure during the patient’s participation in this study. - Healthy volunteers with a personal history of an atopic condition. - Healthy volunteers with use of any topical treatment anywhere except Cetaphil®, Vanicream™, E45 cream or the preferred moisturizer not containing additives on non-targeted skin areas. - Female of childbearing potential* and sexually active, who is unwilling to use highly effective methods of contraception prior to the initial dose, during the study and for at least 120 days after the last dose of study drug.
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E.5 End points |
E.5.1 | Primary end point(s) |
Percent change from baseline in TEWL after 5 STS assessed on lesional skin at Week 16 in AD patients. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
Change from baseline in TEWL before and after 10, 15, 20 STS assessed on lesional skin in AD patients at Week 16. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
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E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
Will this trial be conducted at a single site globally?
| Yes |
E.8.4 | Will this trial be conducted at multiple sites globally? | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.2 | Trial being conducted completely outside of the EEA | Yes |
E.8.6.3 | Specify the countries outside of the EEA in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 1 |