Clinical Trial Results:
Open-label exploratory study to evaluate the effect of dupilumab on skin barrier function in Chinese pediatric patients with moderate-to-severe atopic dermatitis
Summary
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EudraCT number |
2024-000402-15 |
Trial protocol |
Outside EU/EEA |
Global end of trial date |
15 Mar 2024
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Results information
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Results version number |
v1(current) |
This version publication date |
10 Oct 2024
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First version publication date |
10 Oct 2024
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
LPS17244
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT05680298 | ||
WHO universal trial number (UTN) |
U1111-1272-6639 | ||
Sponsors
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Sponsor organisation name |
Sanofi (China) Investment Co., Ltd
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Sponsor organisation address |
Shanghai Branch, 19F Tower III, Jian’an Kerry Center, 1228 Middle Yan’an Road, Shanghai, China, 200040
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Public contact |
Trial Transparency Team, Sanofi aventis recherche & développement, Contact-US@sanofi.com
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Scientific contact |
Trial Transparency Team, Sanofi aventis recherche & développement, Contact-US@sanofi.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
30 May 2024
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Is this the analysis of the primary completion data? |
No
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Global end of trial reached? |
Yes
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Global end of trial date |
15 Mar 2024
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
To evaluate changes in skin barrier function (SBF) with transepidermal water loss (TEWL) assessed after 5 skin tape stripping (STS) in predefined lesional skin in pediatric participants with moderate-to-severe atopic dermatitis (AD) treated with dupilumab.
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Protection of trial subjects |
The study was conducted by investigators experienced in the treatment of pediatric participants. The parent(s) or guardian(s) as well as children were fully informed of all pertinent aspects of the clinical trial as well as the possibility to discontinue at any time. In addition to the consent form for the parent(s)/guardian(s), an assent form in child-appropriate language was provided and explained to the child. Repeated invasive procedures were minimized. The number of blood samples as well as the amount of blood drawn were adjusted according to age and weight. A topical anesthesia may have been used to minimize distress and discomfort.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
22 Feb 2023
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
China: 34
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Worldwide total number of subjects |
34
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EEA total number of subjects |
0
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
34
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
0
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
The study was conducted at a single center in China. A total of 39 participants were screened between 22 Feb 2023 and 30 Aug 2023, of which 5 were screen failures. Screen failures were mainly due to not meeting eligibility criteria and withdrawal of informed consent. | ||||||||||||||||||
Pre-assignment
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Screening details |
24 participants with AD and 10 healthy volunteers were successfully screened and enrolled in the study to investigate dupilumab’s effect on skin barrier function. Healthy participants arm did not receive any treatment and was considered as a reference comparator group. | ||||||||||||||||||
Period 1
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Period 1 title |
Overall study (overall period)
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Is this the baseline period? |
Yes | ||||||||||||||||||
Allocation method |
Not applicable
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Blinding used |
Not blinded | ||||||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Participants with AD | ||||||||||||||||||
Arm description |
Pediatric participants with moderate-to-severe AD received dupilumab subcutaneous (SC) injection depending on the body weight. Participants with baseline body weight of >=15 kilograms (kg) but <30 kg received an SC loading dose of dupilumab 600 milligrams (mg) on Day 1, followed by every 4-week SC dosing of dupilumab 300 mg from Week 4 up to Week 12. Participants with baseline body weight >=30 kg but <60 kg received an SC loading dose of dupilumab 400 mg on Day 1, followed by bi-weekly SC dosing of dupilumab 200 mg from Week 2 to Week 14. | ||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||
Investigational medicinal product name |
Dupilumab
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Investigational medicinal product code |
SAR231893, REGN668
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Other name |
Dupixent
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Pharmaceutical forms |
Solution for injection in pre-filled syringe
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Routes of administration |
Subcutaneous use
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Dosage and administration details |
Dupilumab 200 mg or 300 mg was administered SC depending on the body weight as per the protocol.
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Arm title
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Healthy Participants | ||||||||||||||||||
Arm description |
Healthy volunteers matched to selected participants with AD for age, gender, location of targeted skin lesion area and study site received no treatment but were monitored in a similar way as AD participants. | ||||||||||||||||||
Arm type |
No intervention | ||||||||||||||||||
Investigational medicinal product name |
No investigational medicinal product assigned in this arm
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Baseline characteristics reporting groups
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Reporting group title |
Participants with AD
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Reporting group description |
Pediatric participants with moderate-to-severe AD received dupilumab subcutaneous (SC) injection depending on the body weight. Participants with baseline body weight of >=15 kilograms (kg) but <30 kg received an SC loading dose of dupilumab 600 milligrams (mg) on Day 1, followed by every 4-week SC dosing of dupilumab 300 mg from Week 4 up to Week 12. Participants with baseline body weight >=30 kg but <60 kg received an SC loading dose of dupilumab 400 mg on Day 1, followed by bi-weekly SC dosing of dupilumab 200 mg from Week 2 to Week 14. | ||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Healthy Participants
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Reporting group description |
Healthy volunteers matched to selected participants with AD for age, gender, location of targeted skin lesion area and study site received no treatment but were monitored in a similar way as AD participants. | ||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Participants with AD
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Reporting group description |
Pediatric participants with moderate-to-severe AD received dupilumab subcutaneous (SC) injection depending on the body weight. Participants with baseline body weight of >=15 kilograms (kg) but <30 kg received an SC loading dose of dupilumab 600 milligrams (mg) on Day 1, followed by every 4-week SC dosing of dupilumab 300 mg from Week 4 up to Week 12. Participants with baseline body weight >=30 kg but <60 kg received an SC loading dose of dupilumab 400 mg on Day 1, followed by bi-weekly SC dosing of dupilumab 200 mg from Week 2 to Week 14. | ||
Reporting group title |
Healthy Participants
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Reporting group description |
Healthy volunteers matched to selected participants with AD for age, gender, location of targeted skin lesion area and study site received no treatment but were monitored in a similar way as AD participants. |
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End point title |
Percent Change From Baseline in TEWL After 5 STS Assessed on Lesional Skin at Week 16 in Participants With AD [1] [2] | ||||||||
End point description |
TEWL is a non-invasive SBF test that measures perspiration/water loss through skin. TEWL measurements combined with STS measures SBF in predefined skin areas which are identified at Baseline. With STS, the uppermost layers of the skin are peeled away using adhesive discs. Within the predefined lesional skin areas, 4 closely adjacent non-overlapping spots were identified for subsequent SBF assessment. Baseline was defined as last available and evaluable value before and closest to first dose of study treatment. The intent-to-treat (ITT) population included all enrolled participants, who received at least 1 dose of study treatment and all enrolled healthy participants who had at least 1 TEWL/STS assessment performed, irrespective of compliance with the study protocol and procedures. Data was only collected for participants with AD as prespecified in protocol.
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End point type |
Primary
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End point timeframe |
Baseline (Day 1) and Week 16
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Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: As the endpoint is analyzed only for 1 arm, no statistical analysis is added. [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: As the endpoint is analyzed only for 1 arm, no statistical analysis is added. |
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No statistical analyses for this end point |
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End point title |
Percent Change From Baseline in TEWL Before and After 10, 15, 20 STS Assessed on Lesional Skin at Week 16 in Participants With AD [3] | ||||||||||||||||
End point description |
TEWL is a non-invasive SBF test that measures perspiration/water loss through skin. TEWL measurements combined with STS measures SBF in predefined skin areas which are identified at Baseline. With STS, the uppermost layers of the skin are peeled away using adhesive discs. Within the predefined lesional skin areas, 4 closely adjacent non-overlapping spots were identified for subsequent SBF assessment. Baseline was defined as last available and evaluable value before and closest to first dose of study treatment. The ITT population included all enrolled participants, who received at least 1 dose of study treatment and all enrolled healthy participants who had at least 1 TEWL/STS assessment performed, irrespective of compliance with the study protocol and procedures. Data was only collected for participants with AD as prespecified in protocol.
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End point type |
Secondary
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End point timeframe |
Baseline (Day 1) and Week 16
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Notes [3] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Only the participants with AD were analyzed. |
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No statistical analyses for this end point |
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End point title |
Absolute Change From Baseline in TEWL Before and After 10, 15, 20 STS Assessed on Lesional Skin at Week 16 in Participants With AD [4] | ||||||||||||||||
End point description |
TEWL is a non-invasive SBF test that measures perspiration/water loss through skin. TEWL measurements combined with STS measures SBF in predefined skin areas which are identified at Baseline. With STS, the uppermost layers of the skin are peeled away using adhesive discs. Within the predefined lesional skin areas, 4 closely adjacent non-overlapping spots were identified for subsequent SBF assessment. Baseline was defined as last available and evaluable value before and closest to first dose of study treatment. The ITT population included all enrolled participants, who received at least 1 dose of study treatment and all enrolled healthy participants who had at least 1 TEWL/STS assessment performed, irrespective of compliance with the study protocol and procedures. Data was only collected for participants with AD as prespecified in protocol.
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End point type |
Secondary
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End point timeframe |
Baseline (Day 1) and Week 16
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Notes [4] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Only the participants with AD were analyzed. |
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
TEAEs were collected from first treatment administration up to Week 16
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Adverse event reporting additional description |
The Safety population included all enrolled participants, including participants who actually received at least 1 dose of study treatment or had at least 1 TEWL/STS assessment. TEAE data is reported only for participants with AD as healthy participants did not receive any study treatment.
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Assessment type |
Systematic | ||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||
Dictionary version |
27.0
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Reporting groups
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Reporting group title |
Participants with AD
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Reporting group description |
Pediatric participants with moderate-to-severe AD received dupilumab SC injection depending on the body weight. Participants with baseline body weight of >=15 kg but <30 kg received an SC loading dose of dupilumab 600 mg on Day 1, followed by every 4-week SC dosing of dupilumab 300 mg from Week 4 up to Week 12. Participants with baseline body weight >=30 kg but <60 kg received an SC loading dose of dupilumab 400 mg on Day 1, followed by bi-weekly SC dosing of dupilumab 200 mg from Week 2 to Week 14. | ||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | |||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? No | |||
Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |