Status:

RECRUITING

Efficacy of Dupilumab Added to Medium Dose Inhaled Corticosteroid/Long-acting Beta-agonist (ICS/LABA) in Comparison to ICS Dose Escalation to High Dose ICS/LABA in Adolescent and Adult Patients With Uncontrolled Asthma

Lead Sponsor:

Regeneron Pharmaceuticals

Collaborating Sponsors:

Sanofi

Conditions:

Asthma

Eligibility:

All Genders

12-80 years

Phase:

PHASE4

Brief Summary

This study is researching a drug called dupilumab. The study is focused on patients who have uncontrolled asthma. Asthma is a condition where the airways narrow and swell, making it difficult to breat...

Detailed Description

This study is a Phase 3b in Canada Minors will not be enrolled in Denmark

Eligibility Criteria

Inclusion

  • Key
  • Diagnosis of asthma for ≥12 months, based on the Global Initiative for Asthma (GINA) 2023 guidance document
  • Existing treatment with medium dose ICS/LABA (\>250 to 500 μg/day of fluticasone propionate DPI or equivalent, per GINA 2023 guidance document) for at least 3 months with a stable dose ≥1 month prior to visit 1
  • Participants requiring a maximum of 3 controllers for their asthma will be considered eligible for this study
  • Pre-bronchodilator FEV1, as defined in the protocol
  • Reversibility of at least 12% and 200 mL in FEV1 after the administration of 200 to 400 μg albuterol/salbutamol at screening OR a documented history of ≥20% reduction in the FEV1, as defined in the protocol
  • Demonstrated adherence to medium dose ICS/LABA on at least 80% of days during the run-in period
  • ACQ-5 score ≥1.5 at screening (visit 1)
  • History of ≥1 severe exacerbation(s) in the previous year before visit 1, but not in the 30 days immediately preceding visit 1
  • Biomarker criteria: Baseline blood eosinophil count ≥300 cells/μL at visit 1 (\~90% of population), as defined in the protocol
  • Key

Exclusion

  • Diagnosis of chronic obstructive pulmonary disease (COPD) or other lung diseases which may impair lung function and interfere with treatment assessments
  • Clinical evidence of lung disease(s) other than asthma or imaging (Chest X-ray, computed tomography (CT), magnetic resonance imaging \[MRI\]) with significant findings within 12 months of visit 1 and up to and including the baseline visit (visit 3)
  • A participant who experiences a severe asthma exacerbation at any time from 1 month prior to the screening visit (visit 1) up to and including the baseline visit (visit 3), as defined in the protocol
  • Weight is less than 30 kilograms
  • Current smoker or cessation of smoking within 6 months prior to visit 1 or previous smoker with a smoking history ≥10 pack-years
  • Severe concomitant illness(es) that, in the Investigator's judgment, would adversely affect the participant's participation in the study, as defined in the protocol
  • Participants cannot be on systemic corticosteroids at any time from 1 month prior to the screening visit (visit 1) through the duration of the run-in period
  • NOTE: Other protocol-defined Inclusion/Exclusion criteria apply

Key Trial Info

Start Date :

August 26 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2026

Estimated Enrollment :

250 Patients enrolled

Trial Details

Trial ID

NCT06572228

Start Date

August 26 2024

End Date

December 31 2026

Last Update

December 22 2025

Active Locations (84)

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Page 1 of 21 (84 locations)

1

Kern Research, Inc

Bakersfield, California, United States, 93301

2

Modena Allergy & Asthma, Inc.

La Jolla, California, United States, 92037

3

Antelope Valley Clinical Trials

Lancaster, California, United States, 93534

4

Ark Clinical Research - Long Beach

Long Beach, California, United States, 90815