Status:

RECRUITING

Dupilumab De-escalation in Pediatric Atopic Dermatitis

Lead Sponsor:

Johns Hopkins University

Collaborating Sponsors:

Doris Duke Charitable Foundation

Conditions:

Atopic Dermatitis

Eligibility:

All Genders

1-17 years

Phase:

PHASE4

Brief Summary

This is a pilot investigator-blinded, randomized clinical trial to assess the feasibility of dupilumab treatment discontinuation or dose-reduction in children aged 1-17 years who have achieved sustain...

Detailed Description

Participants will be randomly assigned to one of three groups: discontinuation of dupilumab; reduction of dupilumab dose; or continuation of standard dupilumab dose. During the active study treatment ...

Eligibility Criteria

Inclusion

  • Aged 1 to \<18 years old, either sex, any race or ethnicity
  • Provide signed informed consent by parent or legal guardian and informed assent if applicable
  • Has a physician confirmed diagnosis of atopic dermatitis
  • Has received dupilumab for at least 12 months for the treatment of atopic dermatitis
  • Has had well-controlled atopic dermatitis on dupilumab within last 6 months (defined as POEM\<=7, EASI\<=7, or IGA\<=2)
  • Able to speak English
  • Able and willing to adhere to all study procedures

Exclusion

  • Taking concurrent systemic medication for atopic dermatitis (e.g., methotrexate, cyclosporine, tralokinumab, abrocitinib, upadacitinib, systemic corticosteroids)
  • Using concurrent phototherapy for atopic dermatitis
  • Taking dupilumab for a clinical indication other than atopic dermatitis (such as asthma or eosinophilic esophagitis)
  • Poor control of atopic dermatitis
  • Poor control of asthma or eosinophilic esophagitis
  • Has used an investigational drug within 90 days or plan to use an investigational drug during the study period
  • Does not have health insurance or will lose health insurance during the study period

Key Trial Info

Start Date :

April 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

April 30 2027

Estimated Enrollment :

30 Patients enrolled

Trial Details

Trial ID

NCT06116526

Start Date

April 1 2024

End Date

April 30 2027

Last Update

January 15 2025

Active Locations (1)

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Johns Hopkins Univerisity

Baltimore, Maryland, United States, 21210