A Study to Investigate the Pharmacokinetics and Safety of Dupilumab in Participants ≥6 Months to <18 Years of Age With Prurigo Nodularis

Prurigo Nodularis Clinical Trial

Official title:

A Multicenter Open-label Study to Investigate the Pharmacokinetics and Safety of Dupilumab in Participants ≥6 Months to <18 Years of Age With Prurigo Nodularis

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06293053
• Other study ID #: PKM17836
• Secondary ID: U1111-1287-7255
• Status: Recruiting
• Phase: Phase 3
• Start date: May 15, 2024
• Est. completion date: November 3, 2027

Study information

• Verified date: May 2024
• Source: Sanofi
• Contact: Trial Transparency email recommended (Toll free for US & Canada)
• Phone: 800-633-1610
• Email: Contact-US[@]sanofi.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is a Phase 3, multicenter, open-label, pharmacokinetics (PK)/safety study.

The study consists of 3 periods:

• Screening period: 2 to 4 weeks.

• Treatment period: 24 weeks.

• Post-intervention follow-up period: 16 weeks. The study duration will be approximately 42 to 44 weeks for each participant (including screening, treatment, and follow-up periods).

The total number of planned study visits for each participant will be 6.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 18
• Est. completion date: November 3, 2027
• Est. primary completion date: October 28, 2027
• Accepts healthy volunteers: No
• Gender: All
• Age group: 6 Months to 17 Years

Eligibility

Inclusion Criteria:

• Participants must be =6 months to <18 years of age, at the time of signing the informed consent.

• A clinical diagnosis of prurigo nodularis (PN) at least 3 months prior to screening, an Investigator's global assessment for prurigo nodularis stage (IGA PN-S) score of =2 with presence of =6 pruriginous lesions at Baseline. The lesions should be present on =2 different body surface areas at Baseline.

• On the worst itch numerical rating scale (WI-NRS) (for participants aged =6 years to <18 years old at the screening visit) or worst-scratch/itch NRS (for participants aged =6 months to <6 years at the screening visit) ranging from 0 to 10, participants must have an average worst itch score of =7 in the 7 days prior to Day 1.

NOTE: Baseline pruritus NRS average score for maximum itch intensity will be determined based on the average of daily NRS scores for maximum intensity (the daily score ranges from 0 to 10) during the 7 days immediately preceding the Day 1/Baseline visit. A minimum of 4 daily scores out of the 7 days is required to calculate the baseline average score.

• Participants/Caregivers must be willing and able to complete a daily symptom e-Diary for the duration of the study.

• Contraceptive use by male and female participants should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.

Exclusion Criteria:

Participants are excluded from the study if any of the following criteria apply:

• Presence of active moderate to severe lesions of atopic dermatitis (AD), and/or other skin conditions that may interfere with the PN diagnosis including but not limited to the following: scabies, psoriasis, lymphomatoid papulosis, habitual picking, dermatitis herpetiformis, sporotrichosis, and bullous disease.

• Active chronic or acute infection requiring treatment with systemic antibiotics, antivirals, or antifungals within 2 weeks before the screening visit or during the screening period.

NOTE: Participants may be rescreened after infection resolves.

• Known or suspected immunodeficiency, including history of invasive opportunistic infections (eg, histoplasmosis, listeriosis, coccidioidomycosis, pneumocystosis, and aspergillosis) despite infection resolution, or otherwise recurrent infections of abnormal frequency or prolonged duration suggesting an immune compromised status, as judged by the Investigator.

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

• Planned or anticipated major surgical procedure during the participant's participation in this clinical trial.

• Participants who has taken biologic therapy/systemic immunosuppressant/ immunomodulator within 4 weeks before the screening visit or 5 half-lives, whichever is longer.

• Current participation to any clinical trial of an investigational drug or device or participation within 3 months before the screening visit or 5 half-lives of the investigational compound, whichever is longer.

• Participation in prior dupilumab clinical study or have been treated with commercially available dupilumab.

Related Conditions & MeSH terms

• Neurodermatitis
• Prurigo
• Prurigo Nodularis

Intervention

Drug:
• Dupilumab
Pharmaceutical form: Injection solution Route of administration: Subcutaneous

Locations

Country	Name	City	State
United States	Pediatric Center Of Excellence Site Number : 8400005	Coral Gables	Florida
United States	Mission Dermatology Center Site Number : 8400011	Rancho Santa Margarita	California
United States	Vital Prospects Clinical Research Institute, P.C. Site Number : 8400002	Tulsa	Oklahoma

Sponsors (2)

Lead Sponsor	Collaborator
Sanofi	Regeneron Pharmaceuticals

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Concentration of dupilumab in serum	Concentration of dupilumab in serum over time	Day 1 to Week 40
Secondary	Incidence of treatment-emergent adverse events (TEAEs) or serious adverse events (SAEs)		Date of signed ICF (2-4 weeks before Day 1) to Week 40
Secondary	Incidence of anti-drug antibodies (ADA) to dupilumab over time		Day 1 to Week 40