Skip to main content
OpenTrials
Completed

NCT Number: NCT05590585

Dupilumab in Adolescent and Adult Skin of Color Participants: Open-label Moderate-to-severe Eczema Trial

The study is focused on skin of color participants who have moderate-to-severe atopic dermatitis. Atopic dermatitis, also referred to as eczema, is a condition that causes the skin to become itchy, dry, and cracked.

From the previous studies on the study drug, it is seen that the study drug has an acceptable safety and effectiveness in participants with atopic dermatitis.

The aim of this study is to get additional information on the safety and effectiveness of the study drug, particularly the information on aspects of atopic dermatitis in skin of color participants.

The study is looking at several other research questions, including:

* What side effects may happen from taking the study drug * How much study drug is in your blood at different times * How much the study drug improves quality of life and mental health

Completed

Looking for future studies?

Notify Me

Key information

Age range

12 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

The University Of Alabama At Birmingham, Birmingham, Alabama, United States

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Skin of color, defined as Fitzpatrick skin type ≥4 at screening visit
  • Diagnosis of moderate-to-severe atopic dermatitis (AD) that cannot be adequately controlled with topical AD medications, as defined in protocol
  • Has applied a stable dose of topical emollient (moisturizer) twice daily as per physician recommendation starting at screening visit

Key Exclusion Criteria:

  • Self-reported Caucasian or White race
  • Adolescent body weight less than 30 kg at screening
  • Prior use of dupilumab within 6 months of screening
  • Concomitant skin diseases or other pigmentary disorder that could confound AD assessments
  • Current or prior use, within 12 weeks before the screening visit, of phototherapy or tanning beds
  • Active helminthic infections; suspected or high risk of helminthic infection, unless clinical and (if necessary) laboratory assessments have ruled out active infection before baseline
  • Treatment with topical corticosteroids (TCS) or topical calcineurin inhibitors (TCI) within 7 days prior to baseline
  • Planned or anticipated use of any prohibited medications and procedures, as defined in protocol
  • Has received a COVID-19 vaccination within 1 week of planned start of study medication or for which the planned COVID-19 vaccinations would not be completed 1 week prior to start of study drug

NOTE: Other Protocol Defined Inclusion / Exclusion Criteria Apply

Treatment and study plan

Dupilumab

Drug

Administered by subcutaneous (SC) injection once every 2 weeks (Q2W) following a loading dose

Other names: Dupixent®, R668, SAR231893

Topical emollient (moisturizer)

Other

Moisturizer should be applied twice daily, as per physician's recommendation, as defined in protocol.

Primary outcomes

  1. Percentage of Participants With ≥75% Reduction From Baseline in Eczema Area and Severity Index (EASI) Score (EASI-75)

    Time frame: Week 24

    The EASI score was used to measure the severity and extent of atopic dermatitis (AD) and measures erythema, infiltration, excoriation and lichenification on 4 anatomic regions of the body: head, trunk, upper and lower extremities. The total EASI score ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD. EASI-75 responders were the participants who achieved ≥75% overall improvement in EASI score from baseline to Week 24.

Secondary outcomes

  1. Percentage of Participants With an Investigator's Global Assessment (IGA) Score 0 to 1

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    IGA is an assessment scale used to determine severity of atopic dermatitis (AD) and clinical response to treatment on a 5-point scale (0 = clear; 1 = almost clear; 2 = mild; 3 = moderate; 4 = severe) based on erythema and papulation/infiltration. Therapeutic response was an IGA score of 0 (clear) or 1 (almost clear). Percentage of participants with IGA "0" or "1" are reported at each visit.

  2. Percent Change From Baseline in EASI Score

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    The Eczema Area and Severity Index (EASI) score was used to measure the severity and extent of AD and measures erythema, infiltration, excoriation and lichenification on 4 anatomic regions of the body: head, trunk, upper and lower extremities. The total EASI score ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD.

  3. Change From Baseline in EASI Score

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    The Eczema Area and Severity Index (EASI) score was used to measure the severity and extent of AD and measures erythema, infiltration, excoriation and lichenification on 4 anatomic regions of the body: head, trunk, upper and lower extremities. The total EASI score ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD.

  4. Percentage of Participants With ≥50% Reduction From Baseline in EASI Score (EASI-50)

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    The EASI score was used to measure the severity and extent of AD and measures erythema, infiltration, excoriation and lichenification on 4 anatomic regions of the body: head, trunk, upper and lower extremities. The total EASI score ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD. EASI-50 responders were the participants who achieved ≥50% overall improvement in EASI score from baseline to the given time point.

  5. Percentage of Participants With ≥75% Reduction From Baseline in EASI Score (EASI-75)

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    The EASI score was used to measure the severity and extent of AD and measures erythema, infiltration, excoriation and lichenification on 4 anatomic regions of the body: head, trunk, upper and lower extremities. The total EASI score ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD. EASI-75 responders were the participants who achieved ≥75% overall improvement in EASI score from baseline to the given time point.

  6. Percentage of Participants With ≥90% Reduction From Baseline in EASI Score (EASI-90)

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    The EASI score was used to measure the severity and extent of AD and measures erythema, infiltration, excoriation and lichenification on 4 anatomic regions of the body: head, trunk, upper and lower extremities. The total EASI score ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD. EASI-90 responders were the participants who achieved ≥90% overall improvement in EASI score from baseline to the given time point.

  7. Percent Change From Baseline in Total Scoring Atopic Dermatitis (SCORAD) Score

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    The SCORAD index is a clinical tool for assessing the severity of atopic dermatitis. Extent and intensity of eczema as well as subjective signs (insomnia, etc.) are assessed and scored. Total score ranges from 0 (absent disease) to 103 (severe disease).

  8. Percentage of Participants With ≥50% Reduction From Baseline in SCORAD Score (SCORAD-50)

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    SCORAD index is a clinical tool for assessing the severity of atopic dermatitis. Extent and intensity of eczema as well as subjective signs insomnia, etc.) were assessed and scored. Total score ranged from 0 (absent disease) to 103 (severe disease). A decrease in score indicated improvement.

    SCORAD-50 was defined as ≥50% reduction from baseline in SCORAD score.

  9. Percentage of Participants With Improvement (Reduction) From Baseline of Weekly Average of Daily Peak Pruritus (PP) Numerical Rating Scale (NRS) Score ≥3

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    Peak Pruritus NRS is an assessment tool used by participants to report intensity of pruritus (itch) during a 24-hour recall period. Participants were asked the following question: For maximum itch intensity: "On a scale of 0 to 10, with 0 being 'no itch' and 10 being the 'worst itch imaginable,' how would you rate your itch at the worst moment during the previous 24 hours?" For post-baseline NRS, the mean weekly NRS was calculated as the prorated average of the reported daily NRS within the week. A decrease in score indicated improvement.

  10. Percentage of Participants With Improvement (Reduction) From Baseline of Weekly Average of Daily PP NRS Score ≥4

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    Peak Pruritus NRS is an assessment tool used by participants to report intensity of pruritus (itch) during a 24-hour recall period. Participants were asked the following question: For maximum itch intensity: "On a scale of 0 to 10, with 0 being 'no itch' and 10 being the 'worst itch imaginable,' how would you rate your itch at the worst moment during the previous 24 hours?" For post-baseline NRS, the mean weekly NRS was calculated as the prorated average of the reported daily NRS within the week. A decrease in score indicated improvement.

  11. Percent Change From Baseline in Weekly Average of Daily PP NRS Score

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    Peak Pruritus NRS is an assessment tool used by participants to report intensity of pruritus (itch) during a 24-hour recall period. Participants were asked the following question: For maximum itch intensity: "On a scale of 0 to 10, with 0 being 'no itch' and 10 being the 'worst itch imaginable,' how would you rate your itch at the worst moment during the previous 24 hours?" For post-baseline NRS, the mean weekly NRS was calculated as the prorated average of the reported daily NRS within the week. A decrease in score indicated improvement.

  12. Change From Baseline in Weekly Average of Daily PP NRS Score

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    Peak Pruritus NRS is an assessment tool used by subjects to report intensity of pruritus (itch) during a 24-hour recall period. Participants were asked the following question: For maximum itch intensity: "On a scale of 0 to 10, with 0 being 'no itch' and 10 being the 'worst itch imaginable,' how would you rate your itch at the worst moment during the previous 24 hours?" For post-baseline NRS, the mean weekly NRS was calculated as the prorated average of the reported daily NRS within the week. A decrease in score indicated improvement.

  13. Percent Change From Baseline in Percent Body Surface Area (BSA)

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    BSA affected by AD was assessed for each section of the body using the rule of nines (the possible highest score for each region was: head and neck [9%], interior trunk [18%], back [18%], upper limbs [18%], lower limbs [36%], and genitals [1%]). BSA was reported as a percentage of all major body sections combined.

  14. Change From Baseline in Health-related Quality of Life (QOL) as Measured by Dermatology Life Quality Index (DLQI; Age ≥16) Score

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    DLQI is a 10-item, validated questionnaire to assess the impact of AD disease symptoms and treatment on QOL; over the past week, with an overall scoring of 0 (no effect on QoL) to 30 (extremely large effect on QoL). A decrease in score indicated improvement.

  15. Change From Baseline in Health-related QOL as Measured by Children's Dermatology Life Quality Index (CDLQI; Age <16) Score

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    CDLQI is a 10-item, validated questionnaire to assess the impact of AD disease symptoms and treatment on quality of life (QOL); over the past week, with an overall scoring of 0 (no effect on QoL) to 30 (extremely large effect on QoL) in children. A decrease in score indicated improvement.

  16. Change From Baseline in Patient Oriented Eczema Measure (POEM) Total Score

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    POEM is a 7-item questionnaire that assesses disease symptoms (dryness, itching, flaking, cracking, sleep loss, bleeding and weeping) with a scoring system of 0 (absent disease) to 28 (severe disease) (Higher score indicative of more severe symptoms). Total score was an average of the disease symptoms assessed. A decrease in score indicated improvement.

  17. Change From Baseline in Hospital Anxiety and Depression Scale (HADS) Total Score

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    The Hospital Anxiety and Depression Scale (HADS) is a screening tool designed to assess anxiety and depression. The scale consists of 14 items, divided into two subscales: Anxiety (HADS-A): 7 items; Depression (HADS-D): 7 items. The range of the total score is 0-42 (sum of HADS-A and HADS-D), with higher score indicating more severe overall psychological distress. The two subscales can be reported separately, each with a score range of 0-21, with higher score indicating more severe symptoms of anxiety or depression. A decrease in either the total score or a subscale score indicates improvement.

  18. Change From Baseline in Skin Pain NRS (SP NRS) Score

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    SP NRS Scale is an assessment tool used to report the intensity of a participant's pain. Participants selected the number between 0 and 10 that fit best to their worst pain intensity over the past 24 hours (0 = no pain and 10 = the worst pain imaginable). A decrease in score indicated improvement.

  19. Change From Baseline in Weekly Average Sleep Quality NRS Score

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    Sleep Quality NRS is an 11-point scale (0 to 10) in which 0 indicated worst possible sleep while 10 indicated best possible sleep. An increase in score indicated improvement.

  20. Percentage of Participants With Patient Global Impression of Disease (PGID) Response as No Symptoms

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    PGID is a single 1-item questionnaire designed to assess participant's overall impression of disease severity during the past 7 days with a 5-level scale of no symptoms, mild, moderate, severe or very severe. Data are reported for the percentage of participants with a PGID response of "No symptoms" at the specified timepoints.

  21. Percentage of Participants With PGID Response as No Symptoms or Mild Symptoms

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    PGID is a single 1-item questionnaire designed to assess participant's overall impression of disease severity during the past 7 days with a 5-level scale of no symptoms, mild, moderate, severe or very severe. Data are reported for the percentage of participants with a PGID response of "No symptoms" or "Mild symptoms" at the specified timepoints.

  22. Percentage of Participants Who Rated Their Eczema Symptoms in the Patient Global Impression of Change (PGIC) as "Much Better"

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    The PGIC is a single-item questionnaire designed to assess the participant's overall sense of whether there has been a change in eczema symptoms since starting treatment as rated on a 7-point Likert scale anchored by (1) "much better" to (7) "much worse", with (4) = "no change". Data are reported for the percentage of participants who rated their eczema symptoms as "Much better" at the specified timepoints.

  23. Percentage of Participants Who Rated Their Eczema Symptoms in the PGIC as "Moderately Better"

    Time frame: Weeks 2, 4, 8, 12, 16, 20, and 24

    The PGIC is a single-item questionnaire designed to assess the participant's overall sense of whether there has been a change in eczema symptoms since starting treatment as rated on a 7-point Likert scale anchored by (1) "much better" to (7) "much worse", with (4) = "no change". Data are reported for the percentage of participants who rated their eczema symptoms as "Moderately better" at the specified timepoints.

  24. Number of Participants With Non-herpetic Skin Infection Treatment-emergent Adverse Events (TEAEs)

    Time frame: Day 1 through Week 24

    A TEAE is any untoward medical occurrence in a participant administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment. Data are reported for the number of participants with non-herpetic skin infection TEAEs. A summary of all serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module.

  25. Change From Baseline in Total Immunoglobulin (E) IgE

    Time frame: Weeks 4, 12 and 24

    Serum samples were collected to measure concentrations of IgE.

  26. Percent Change From Baseline in Total IgE

    Time frame: Weeks 4, 12 and 24

    Serum samples were collected to measure concentrations of IgE.

  27. Trough Concentration of Functional Dupilumab in Serum

    Time frame: Week 12 and Week 24

    Adolescents and adults received 1 of 2 dose regimens based on age and body weight. The trough concentration of functional dupilumab in serum for the 2 dose regimens at the specified time points are presented. Participants treated and had at least one evaluable post-first-dose concentration measurement.

Sponsors and collaborators

Lead sponsor

Regeneron Pharmaceuticals

Industry

Collaborators

  • Sanofi

Registry information

Official study title

An Open-Label Single-Arm Study of Dupilumab in Adolescent and Adult Skin of Color Patients With Moderate-to-Severe Atopic Dermatitis

Acronym: DISCOVER

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Oct 21, 2022
Registry last updated
May 27, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.