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Completed

NCT Number: NCT04173442

Post-authorization Safety Study in North America to Monitor Pregnancy and Infant Outcomes Following Administration of Dupilumab During Planned or Unexpected Pregnancy

The objective is to evaluate the potential effect of exposure to dupilumab in pregnancy compared to the primary comparison group of disease-matched pregnant women who are not exposed to dupilumab, and the secondary comparison group of healthy pregnant women.

The primary outcome of the study is major structural defects, and the secondary outcomes of the study are spontaneous abortion/miscarriage, stillbirth, elective termination/abortion, premature delivery, small for gestational age, pattern of 3 or more minor structural defects, postnatal growth of live born children to 1 year of age, postnatal serious or opportunistic infections in live born children to 1 year of age, and hospitalizations in live children up to 1 year of age.

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Key information

Who can participate

Healthy volunteers accepted: Yes

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

Key Inclusion Criteria:

Cohort 1: Dupilumab-Exposed Cohort

  • Pregnant women
  • Exposure to dupilumab for the treatment of the approved indications of atopic dermatitis (AD) or asthma, for any number of days, at any dose, and at any time from the first day of the LMP up to and including the end of pregnancy.

Cohort 2: Disease-Matched Comparison Cohort (Comparison Group 1)

  • Pregnant women
  • Diagnosed with a dupilumab-approved indications of moderate-to-severe AD without asthma or moderate-to-severe asthma; frequency matched to the exposed group by disease indication, with the indication and severity validated by medical records when possible.
  • No exposure to dupilumab any time in the current pregnancy or within 10 weeks of the first day of the LMP and may or may not have taken another medication for their disease in the current pregnancy.

Cohort 3: Healthy Comparison Cohort (Comparison Group 2):

  • Pregnant women

Key Exclusion Criteria:

Cohort 1: Dupilumab-Exposed Cohort

  • Women who have first contact with the project after prenatal diagnosis of any major structural defect
  • Women who have used dupilumab for an indication other than asthma or AD

Cohort 2: Disease-Matched Comparison Cohort (Comparison Group 1):

  • Women who have first contact with the project after prenatal diagnosis of any major structural defect
  • Exposure to dupilumab within 10 weeks of LMP or anytime during the current pregnancy

Cohort 3: Non-Diseased Comparison Cohort (Comparison Group 2):

  • Exposure to dupilumab within 10 weeks prior to the first day of the LMP
  • Women who have a diagnosis of any dupilumab approved indication
  • Women who have first contact with the project after prenatal diagnosis of any major structural defect

NOTE: Other protocol defined Inclusion/Exclusion Criteria apply

Treatment and study plan

Dupilumab

Drug

Dupilumab cohort

Other names: REGN668, Dupixent®, SAR23189

Primary outcomes

  1. Rate of major structural defects

    Time frame: Up to 1 Year of Age

    Defined and classified using the Centers for Disease Control and Prevention (CDC) coding manual that is used for the Metropolitan Atlanta Congenital Defects Program (MACDP) classification of major structural defects

Secondary outcomes

  1. Incidence of spontaneous abortion or miscarriage

    Time frame: Up to 20 weeks post-LMP (Last Menstrual period)

    Defined as non-deliberate fetal death

  2. Incidence of stillbirth

    Time frame: At or after 20 weeks post-LMP

    Defined as non-deliberate fetal death

  3. Incidence of elective termination/abortion

    Time frame: Up to 9 months

    Defined as deliberate discontinuation of pregnancy through medication or surgical procedures

  4. Incidence of premature delivery

    Time frame: Prior to 37 weeks of gestation

    Defined as live birth prior to 37.0 weeks gestation as counted from LMP (or ultrasound-adjusted date)

  5. Incidence of small for gestational age

    Time frame: At Birth

    Defined as birth size (weight, length or head circumference) less than or equal to the 10th centile for sex and gestational age using standard pediatric CDC growth curves for full term or preterm infants

  6. Incidence of a pattern of 3 or more minor structural defects

    Time frame: Between Birth and Up to 1 Year of Age

    Identified by a study examiner: Defined as 1 of the defects representing a structural anomaly which has neither cosmetic nor functional significance to the child

  7. Postnatal growth deficiency

    Time frame: Up to 1 Year of Age

    Defined as postnatal size (weight, length or head circumference) less than or equal to the 10th centile for sex and age using standard pediatric growth curves, and adjusted for postnatal age for premature infants if the postnatal measurement is obtained at less than 1 year of age.

  8. Incidence of postnatal serious or opportunistic infections in live born children

    Time frame: Up to 1 Year of Age

    Defined as any infection resulting in hospitalization

  9. Incidence of hospitalizations in live born children

    Time frame: Up to 1 Year of Age

    Defined as any hospitalization of the infant within the first year of life after discharge following delivery

Sponsors and collaborators

Lead sponsor

Regeneron Pharmaceuticals

Industry

Collaborators

  • Sanofi

Registry information

Official study title

Post-Authorization Safety Study to Monitor Pregnancy and Infant Outcomes Following Administration of Dupilumab During Planned or Unexpected Pregnancy in North America

Important dates

Study start
2018
Primary completion
2025
Study completion
2025
First posted
Nov 22, 2019
Registry last updated
Mar 4, 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.

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