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Efficacy and Safety of Subcutaneous Dupilumab for the Treatment of Adult Participants With Chronic Pruritus of Unknown Origin (CPUO) (LIBERTY-CPUO-CHIC)

Primary Purpose

Pruritus

Status
Recruiting
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Dupilumab
Placebo
Fexofenadine (loratadine if not available)
Moisturizer
Sponsored by
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pruritus

Eligibility Criteria

18 Years - 90 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Participant must be 18 (or the legal age of consent in the jurisdiction in which the study is taking place) to 90 years of age inclusive, at the time of signing the informed consent.
  • Participants with chronic pruritus for at least 6 months before the screening visit.
  • Chronic pruritus considered of unknown origin as assessed by the investigator at baseline (excluding chronic pruritus secondary to dermatological or systemic conditions, of neuropathic or psychogenic origin or secondary to drugs).
  • Chronic pruritus must affect at least 2 of the following body areas: legs, arms, or trunk.
  • History of insufficient control of the chronic pruritus with prior treatment.
  • Participants should receive optimal treatment for concomitant conditions that could impact pruritus (eg, diabetes, iron deficiency).
  • Participants must have a history of severe itch and a worst itch score of ≥7 at screening on the WI-NRS (score scale ranges from 0 to 10; higher score indicates worse itch) and Patient global impression of severity (PGIS) of pruritus scored "severe" at screening.
  • Participants must have an average worst itch score of ≥7 in the 7 days prior to run-in visit and in the 7 days prior to Day 1 on the WI-NRS.
  • Participants scored "severe" in the PGIS of pruritus on Day 1.

Exclusion Criteria:

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

  • Severe concomitant illness(es) that, in the Investigator's judgment, would adversely affect the patient's participation in the study.
  • Patients with active tuberculosis or non-tuberculous mycobacterial infection, or a history of incompletely treated tuberculosis, unless it is well documented by a specialist that the participant has been adequately treated and can now start treatment with a biologic agent.
  • Diagnosed with, suspected of, or at high risk of endoparasitic infection, and/or use of antiparasitic drug within 2 weeks before the screening visit.
  • HIV infection.
  • Severe renal failure (dialysis).
  • Active chronic or acute infection requiring treatment with systemic antibiotics, antivirals, or antifungals within 2 weeks before the run-in visit.
  • Known or suspected immunodeficiency.
  • Active malignancy or history of malignancy within 5 years before the baseline visit, except completely treated in situ carcinoma of the cervix and completely treated and resolved non metastatic squamous or basal cell carcinoma of the skin.
  • History of hypersensitivity or intolerance to non-sedative antihistamines.
  • Participation in prior dupilumab clinical study or have been treated with commercially available dupilumab.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Sites / Locations

  • Kern Research, Inc-Site Number:8400016Recruiting
  • Palm Harbor Dermatology-Site Number:8400024Recruiting
  • University of Miami-Site Number:8400011Recruiting
  • Skin Care Physicians of Georgia-Site Number:8400030Recruiting
  • Dawes Fretzin Clinical Research Group, LLC-Site Number:8400007Recruiting
  • DS Research-Site Number:8400031Recruiting
  • Johns Hopkins University-Site Number:8400020Recruiting
  • Nebraska Medical Research Institute, Inc.-Site Number:8400014Recruiting
  • National Allergy, Asthma & Urticaria Centers of Charleston, PA-Site Number:8400032Recruiting
  • Investigational Site Number :0320005Recruiting
  • Investigational Site Number :0320001Recruiting
  • Investigational Site Number :0320006Recruiting
  • Investigational Site Number :0320004Recruiting
  • Investigational Site Number :0320002Recruiting
  • Investigational Site Number :0320003Recruiting
  • Investigational Site Number :1240001Recruiting
  • Investigational Site Number :1240002Recruiting
  • Investigational Site Number :1240003Recruiting
  • Investigational Site Number :1240006Recruiting
  • Investigational Site Number :1240005Recruiting
  • Investigational Site Number :1240004Recruiting
  • Investigational Site Number :1560003Recruiting
  • Investigational Site Number :1560004Recruiting
  • Investigational Site Number :1560005Recruiting
  • Investigational Site Number :1560002Recruiting
  • Investigational Site Number :1560001Recruiting
  • Investigational Site Number :3480001Recruiting
  • Investigational Site Number :3480005Recruiting
  • Investigational Site Number :3480003Recruiting
  • Investigational Site Number :3480002Recruiting
  • Investigational Site Number :3800004Recruiting
  • Investigational Site Number :3800003Recruiting
  • Investigational Site Number :3800002Recruiting
  • Investigational Site Number :3800005Recruiting
  • Investigational Site Number :3800001Recruiting
  • Investigational Site Number :3920002Recruiting
  • Investigational Site Number :3920001Recruiting
  • Investigational Site Number :4100004Recruiting
  • Investigational Site Number :4100005Recruiting
  • Investigational Site Number :4100003Recruiting
  • Investigational Site Number :4100001Recruiting
  • Investigational Site Number :4100002Recruiting
  • Investigational Site Number :6160003Recruiting
  • Investigational Site Number :6160001Recruiting
  • Investigational Site Number :6160002Recruiting
  • Investigational Site Number :7240002Recruiting
  • Investigational Site Number :7240003Recruiting
  • Investigational Site Number :7240005Recruiting
  • Investigational Site Number :7240004Recruiting
  • Investigational Site Number :7240001Recruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Dupilumab

Placebo

Arm Description

Loading dose administered subcutaneous (SC), followed by SC once every 2 weeks (Q2W) on top of non-sedative antihistamine and moisturizer

Loading dose administered SC, followed by SC Q2W on top of non-sedative antihistamine and moisturizer

Outcomes

Primary Outcome Measures

Study A: Proportion of participants with improvement (reduction) in weekly average of daily worst-itch numerical rating scale (WI-NRS) by ≥4 from baseline to Week 24
WI-NRS is a patient reported outcome (PRO) comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Study B: Proportion of participants with improvement (reduction) in weekly average of daily WI-NRS by ≥4 from baseline to Week 12
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").

Secondary Outcome Measures

Study A; Proportion of participants with improvement (reduction) in weekly average of daily WI-NRS by ≥4 from baseline to Week 12
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Study A: Proportion of participants who scored "none" or "mild" in Patient Global Impression of Severity (PGIS) of pruritus at Week 24
The PGIS of pruritus is a one-item categorical scale that asks participants to provide the overall self-assessment of their pruritus severity on a 4-point scale for the past week. Response choices are: "None", "Mild", "Moderate", "Severe".
Study A: Proportion of participants with improvement (reduction) in weekly average of daily WI-NRS by ≥4 from baseline over time until Week 24
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Study A: Time to first response of WI-NRS ≥4 points reduction from baseline by Week 24
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Study A: Absolute change from baseline in weekly average of daily WI-NRS at Week 24
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Study A: Percent change from baseline in weekly average of daily WI-NRS at Week 24
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Study A: Proportion of participants who scored "none" or "mild" in PGIS of pruritus at Week 12
The PGIS of pruritus is a one-item categorical scale that asks participants to provide the overall self-assessment of their pruritus severity on a 4-point scale for the past week. Response choices are: "None", "Mild", "Moderate", "Severe".
Study A: Absolute change from baseline in weekly average of daily WI-NRS at Week 12
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Study A: Percent change from baseline in weekly average of daily WI-NRS at Week 12
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Study A: Absolute change from baseline in weekly average of daily sleep disturbances numerical rating scale (NRS) at Week 24
The sleep disturbance NRS is to be used by the participants to report the degree of their sleep loss related to itch over the past 24 hours. Participants will rate their sleep disturbance from 0 ('no sleep loss related to itch') to 10 ('I cannot sleep at all due to itch') once daily in the morning.
Study A: Percent change from baseline in weekly average of daily sleep disturbances NRS at Week 24
The sleep disturbance NRS is to be used by the participants to report the degree of their sleep loss related to itch over the past 24 hours. Participants will rate their sleep disturbance from 0 ('no sleep loss related to itch') to 10 ('I cannot sleep at all due to itch') once daily in the morning.
Study A: Change from baseline in Dermatology Life Quality Index (DLQI) score at Week 24
The DLQI is a validated 10-item questionnaire to measure dermatology-specific quality of life (QoL) in adult patients. Overall scoring ranges from 0 to 30, with a higher score indicating a poorer QoL.
Study A: Change from baseline in the Itchy quality of life (ItchyQoL) score at Week 24
ItchyQoL is a pruritus-specific QoL instrument that measures specifically disease burden in pruritus patients.
Study A: Change from baseline in Hospital Anxiety and Depression Scale (HADS) total score at Week 24
The HADS is a validated questionnaire for screening anxiety and depression in non-psychiatric populations. The total score ranges from 0 to 42. 0 to 7= normal; 8 to 10= borderline abnormal; 11 to 21= abnormal.
Study A: Absolute change from baseline in weekly average of daily sleep disturbances NRS at Week 12
The sleep disturbance NRS is to be used by the participants to report the degree of their sleep loss related to itch over the past 24 hours. Participants will rate their sleep disturbance from 0 ('no sleep loss related to itch') to 10 ('I cannot sleep at all due to itch') once daily in the morning.
Study A: Percent change from baseline in weekly average of daily sleep disturbances NRS at Week 12
The sleep disturbance NRS is to be used by the participants to report the degree of their sleep loss related to itch over the past 24 hours. Participants will rate their sleep disturbance from 0 ('no sleep loss related to itch') to 10 ('I cannot sleep at all due to itch') once daily in the morning.
Study A: Change from baseline in DLQI score at Week 12
The DLQI is a validated 10-item questionnaire to measure dermatology-specific quality of life (QoL) in adult patients. Overall scoring ranges from 0 to 30, with a higher score indicating a poorer QoL.
Study A: Change from baseline in the ItchyQoL score at Week 12
ItchyQoL is a pruritus-specific QoL instrument that measures specifically disease burden in pruritus patients. It is a 22-item instrument that measures the degree to which pruritus affects quality-of-life for the past week. The overall score is the average of the 22 items ranging from 1 to 5. A higher score corresponds to a more adverse impact on QoL.
Study A: Change from baseline in HADS total score at Week 12
The HADS is a validated questionnaire for screening anxiety and depression in non-psychiatric populations. The total score ranges from 0 to 42. 0 to 7= normal; 8 to 10= borderline abnormal; 11 to 21= abnormal.
Study A: Percentage of participants experiencing treatment-emergent adverse events (TEAEs) or serious adverse events (SAEs) from baseline through end of study (EOS)
Percentage of participants experiencing TEAEs or SAEs from baseline through EOS
Study A: Incidence of treatment-emergent antidrug antibodies (ADA) against dupilumab
Incidence of treatment-emergent ADA against dupilumab
Study B: Proportion of participants who scored "none" or "mild" in PGIS of pruritus at Week 12
The PGIS of pruritus is a one-item categorical scale that asks participants to provide the overall self-assessment of their pruritus severity on a 4-point scale for the past week. Response choices are: "None", "Mild", "Moderate", "Severe".
Study B: Absolute change from baseline in weekly average of daily WI-NRS at Week 12
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Study B: Percent change from baseline in weekly average of daily WI-NRS at Week 12
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Study B: Proportion of participants with improvement (reduction) in weekly average of daily WI-NRS by ≥4 from baseline over time until Week 12
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Study B: Time to first response of WI-NRS ≥4 points reduction from baseline by Week 12
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Study B: Absolute change from baseline in weekly average of daily sleep disturbances NRS at Week 12
The sleep disturbance NRS is to be used by the participants to report the degree of their sleep loss related to itch over the past 24 hours. Participants will rate their sleep disturbance from 0 ('no sleep loss related to itch') to 10 ('I cannot sleep at all due to itch') once daily in the morning.
Study B: Percent change from baseline in weekly average of daily sleep disturbances NRS at Week 12
The sleep disturbance NRS is to be used by the participants to report the degree of their sleep loss related to itch over the past 24 hours. Participants will rate their sleep disturbance from 0 ('no sleep loss related to itch') to 10 ('I cannot sleep at all due to itch') once daily in the morning.
Study B: Change from baseline in DLQI score at Week 12
The DLQI is a validated 10-item questionnaire to measure dermatology-specific quality of life (QoL) in adult patients. Overall scoring ranges from 0 to 30, with a higher score indicating a poorer QoL.
Study B: Change from baseline in the ItchyQoL score at Week 12
ItchyQoL is a pruritus-specific QoL instrument that measures specifically disease burden in pruritus patients. It is a 22-item instrument that measures the degree to which pruritus affects quality-of-life for the past week. The overall score is the average of the 22 items ranging from 1 to 5. A higher score corresponds to a more adverse impact on QoL.
Study B: Change from baseline in HADS total score at Week 12
The HADS is a validated questionnaire for screening anxiety and depression in non-psychiatric populations. The total score ranges from 0 to 42. 0 to 7= normal; 8 to 10= borderline abnormal; 11 to 21= abnormal.
Study B: Percentage of participants experiencing TEAEs or SAEs from baseline through EOS
Percentage of participants experiencing TEAEs or SAEs from baseline through EOS
Study B: Incidence of treatment-emergent ADA against dupilumab
Incidence of treatment-emergent ADA against dupilumab

Full Information

First Posted
February 22, 2022
Last Updated
September 20, 2023
Sponsor
Sanofi
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1. Study Identification

Unique Protocol Identification Number
NCT05263206
Brief Title
Efficacy and Safety of Subcutaneous Dupilumab for the Treatment of Adult Participants With Chronic Pruritus of Unknown Origin (CPUO) (LIBERTY-CPUO-CHIC)
Official Title
Master Protocol of Two Randomized, Double Blind, Placebo-controlled, Multi-center, Parallel Group Studies to Evaluate the Efficacy and Safety of Dupilumab in Adult Patients With Chronic Pruritus of Unknown Origin (CPUO)
Study Type
Interventional

2. Study Status

Record Verification Date
September 20, 2023
Overall Recruitment Status
Recruiting
Study Start Date
February 15, 2022 (Actual)
Primary Completion Date
March 21, 2025 (Anticipated)
Study Completion Date
October 3, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The main objective of the study is to assess efficacy and safety of dupilumab given up to 24 weeks in adults with CPUO. This is a master protocol which includes 2 parallel-treatment, double-blind, 2- arm Phase 3 staggered studies of similar design (Study A and Study B) in male and female participants aged 18 to 90 years with CPUO. Study B design may be adapted based on the results of Study A. For both Study A and B, after an up-to-4-week screening period, participants with severe pruritus (worst-itch numerical rating scale [WI-NRS ≥7) will enter a 4-week run-in period during with a non-sedative antihistamine and an emollient (moisturizer). Participants with severe pruritus (WI-NRS ≥7) at baseline will be randomized (1:1) to be treated for 24 weeks (Study A) or 12 weeks (Study B) with either dupilumab or matching placebo in addition to their antihistamine and emollient regimen. The treatment period for both study A and B will be followed by a 12-week follow-up period.
Detailed Description
Study duration per participant will be up to 44 weeks (Study A) and 32 weeks (Study B).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pruritus

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
208 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Dupilumab
Arm Type
Experimental
Arm Description
Loading dose administered subcutaneous (SC), followed by SC once every 2 weeks (Q2W) on top of non-sedative antihistamine and moisturizer
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Loading dose administered SC, followed by SC Q2W on top of non-sedative antihistamine and moisturizer
Intervention Type
Drug
Intervention Name(s)
Dupilumab
Intervention Description
Injection solution subcutaneous
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Injection solution SC
Intervention Type
Drug
Intervention Name(s)
Fexofenadine (loratadine if not available)
Intervention Description
Tablet or capsule Oral
Intervention Type
Drug
Intervention Name(s)
Moisturizer
Intervention Description
Topical
Primary Outcome Measure Information:
Title
Study A: Proportion of participants with improvement (reduction) in weekly average of daily worst-itch numerical rating scale (WI-NRS) by ≥4 from baseline to Week 24
Description
WI-NRS is a patient reported outcome (PRO) comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Time Frame
Baseline to Week 24
Title
Study B: Proportion of participants with improvement (reduction) in weekly average of daily WI-NRS by ≥4 from baseline to Week 12
Description
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Time Frame
Baseline to Week 12
Secondary Outcome Measure Information:
Title
Study A; Proportion of participants with improvement (reduction) in weekly average of daily WI-NRS by ≥4 from baseline to Week 12
Description
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Time Frame
Baseline to Week 12
Title
Study A: Proportion of participants who scored "none" or "mild" in Patient Global Impression of Severity (PGIS) of pruritus at Week 24
Description
The PGIS of pruritus is a one-item categorical scale that asks participants to provide the overall self-assessment of their pruritus severity on a 4-point scale for the past week. Response choices are: "None", "Mild", "Moderate", "Severe".
Time Frame
Week 24
Title
Study A: Proportion of participants with improvement (reduction) in weekly average of daily WI-NRS by ≥4 from baseline over time until Week 24
Description
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Time Frame
Baseline to Week 24
Title
Study A: Time to first response of WI-NRS ≥4 points reduction from baseline by Week 24
Description
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Time Frame
Baseline to Week 24
Title
Study A: Absolute change from baseline in weekly average of daily WI-NRS at Week 24
Description
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Time Frame
Baseline to Week 24
Title
Study A: Percent change from baseline in weekly average of daily WI-NRS at Week 24
Description
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Time Frame
Baseline to Week 24
Title
Study A: Proportion of participants who scored "none" or "mild" in PGIS of pruritus at Week 12
Description
The PGIS of pruritus is a one-item categorical scale that asks participants to provide the overall self-assessment of their pruritus severity on a 4-point scale for the past week. Response choices are: "None", "Mild", "Moderate", "Severe".
Time Frame
Week 12
Title
Study A: Absolute change from baseline in weekly average of daily WI-NRS at Week 12
Description
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Time Frame
Baseline to Week 12
Title
Study A: Percent change from baseline in weekly average of daily WI-NRS at Week 12
Description
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Time Frame
Baseline to Week 12
Title
Study A: Absolute change from baseline in weekly average of daily sleep disturbances numerical rating scale (NRS) at Week 24
Description
The sleep disturbance NRS is to be used by the participants to report the degree of their sleep loss related to itch over the past 24 hours. Participants will rate their sleep disturbance from 0 ('no sleep loss related to itch') to 10 ('I cannot sleep at all due to itch') once daily in the morning.
Time Frame
Baseline to Week 24
Title
Study A: Percent change from baseline in weekly average of daily sleep disturbances NRS at Week 24
Description
The sleep disturbance NRS is to be used by the participants to report the degree of their sleep loss related to itch over the past 24 hours. Participants will rate their sleep disturbance from 0 ('no sleep loss related to itch') to 10 ('I cannot sleep at all due to itch') once daily in the morning.
Time Frame
Baseline to Week 24
Title
Study A: Change from baseline in Dermatology Life Quality Index (DLQI) score at Week 24
Description
The DLQI is a validated 10-item questionnaire to measure dermatology-specific quality of life (QoL) in adult patients. Overall scoring ranges from 0 to 30, with a higher score indicating a poorer QoL.
Time Frame
Baseline to Week 24
Title
Study A: Change from baseline in the Itchy quality of life (ItchyQoL) score at Week 24
Description
ItchyQoL is a pruritus-specific QoL instrument that measures specifically disease burden in pruritus patients.
Time Frame
Baseline to Week 24
Title
Study A: Change from baseline in Hospital Anxiety and Depression Scale (HADS) total score at Week 24
Description
The HADS is a validated questionnaire for screening anxiety and depression in non-psychiatric populations. The total score ranges from 0 to 42. 0 to 7= normal; 8 to 10= borderline abnormal; 11 to 21= abnormal.
Time Frame
Baseline to Week 24
Title
Study A: Absolute change from baseline in weekly average of daily sleep disturbances NRS at Week 12
Description
The sleep disturbance NRS is to be used by the participants to report the degree of their sleep loss related to itch over the past 24 hours. Participants will rate their sleep disturbance from 0 ('no sleep loss related to itch') to 10 ('I cannot sleep at all due to itch') once daily in the morning.
Time Frame
Baseline to Week 12
Title
Study A: Percent change from baseline in weekly average of daily sleep disturbances NRS at Week 12
Description
The sleep disturbance NRS is to be used by the participants to report the degree of their sleep loss related to itch over the past 24 hours. Participants will rate their sleep disturbance from 0 ('no sleep loss related to itch') to 10 ('I cannot sleep at all due to itch') once daily in the morning.
Time Frame
Baseline to Week 12
Title
Study A: Change from baseline in DLQI score at Week 12
Description
The DLQI is a validated 10-item questionnaire to measure dermatology-specific quality of life (QoL) in adult patients. Overall scoring ranges from 0 to 30, with a higher score indicating a poorer QoL.
Time Frame
Baseline to Week 12
Title
Study A: Change from baseline in the ItchyQoL score at Week 12
Description
ItchyQoL is a pruritus-specific QoL instrument that measures specifically disease burden in pruritus patients. It is a 22-item instrument that measures the degree to which pruritus affects quality-of-life for the past week. The overall score is the average of the 22 items ranging from 1 to 5. A higher score corresponds to a more adverse impact on QoL.
Time Frame
Baseline to Week 12
Title
Study A: Change from baseline in HADS total score at Week 12
Description
The HADS is a validated questionnaire for screening anxiety and depression in non-psychiatric populations. The total score ranges from 0 to 42. 0 to 7= normal; 8 to 10= borderline abnormal; 11 to 21= abnormal.
Time Frame
Baseline to Week 12
Title
Study A: Percentage of participants experiencing treatment-emergent adverse events (TEAEs) or serious adverse events (SAEs) from baseline through end of study (EOS)
Description
Percentage of participants experiencing TEAEs or SAEs from baseline through EOS
Time Frame
Baseline to Week 36
Title
Study A: Incidence of treatment-emergent antidrug antibodies (ADA) against dupilumab
Description
Incidence of treatment-emergent ADA against dupilumab
Time Frame
Baseline to Week 36
Title
Study B: Proportion of participants who scored "none" or "mild" in PGIS of pruritus at Week 12
Description
The PGIS of pruritus is a one-item categorical scale that asks participants to provide the overall self-assessment of their pruritus severity on a 4-point scale for the past week. Response choices are: "None", "Mild", "Moderate", "Severe".
Time Frame
Week 12
Title
Study B: Absolute change from baseline in weekly average of daily WI-NRS at Week 12
Description
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Time Frame
Baseline to Week 12
Title
Study B: Percent change from baseline in weekly average of daily WI-NRS at Week 12
Description
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Time Frame
Baseline to Week 12
Title
Study B: Proportion of participants with improvement (reduction) in weekly average of daily WI-NRS by ≥4 from baseline over time until Week 12
Description
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Time Frame
Baseline to Week 12
Title
Study B: Time to first response of WI-NRS ≥4 points reduction from baseline by Week 12
Description
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
Time Frame
Baseline to Week 12
Title
Study B: Absolute change from baseline in weekly average of daily sleep disturbances NRS at Week 12
Description
The sleep disturbance NRS is to be used by the participants to report the degree of their sleep loss related to itch over the past 24 hours. Participants will rate their sleep disturbance from 0 ('no sleep loss related to itch') to 10 ('I cannot sleep at all due to itch') once daily in the morning.
Time Frame
Baseline to Week 12
Title
Study B: Percent change from baseline in weekly average of daily sleep disturbances NRS at Week 12
Description
The sleep disturbance NRS is to be used by the participants to report the degree of their sleep loss related to itch over the past 24 hours. Participants will rate their sleep disturbance from 0 ('no sleep loss related to itch') to 10 ('I cannot sleep at all due to itch') once daily in the morning.
Time Frame
Baseline to Week 12
Title
Study B: Change from baseline in DLQI score at Week 12
Description
The DLQI is a validated 10-item questionnaire to measure dermatology-specific quality of life (QoL) in adult patients. Overall scoring ranges from 0 to 30, with a higher score indicating a poorer QoL.
Time Frame
Baseline to Week 12
Title
Study B: Change from baseline in the ItchyQoL score at Week 12
Description
ItchyQoL is a pruritus-specific QoL instrument that measures specifically disease burden in pruritus patients. It is a 22-item instrument that measures the degree to which pruritus affects quality-of-life for the past week. The overall score is the average of the 22 items ranging from 1 to 5. A higher score corresponds to a more adverse impact on QoL.
Time Frame
Baseline to Week 12
Title
Study B: Change from baseline in HADS total score at Week 12
Description
The HADS is a validated questionnaire for screening anxiety and depression in non-psychiatric populations. The total score ranges from 0 to 42. 0 to 7= normal; 8 to 10= borderline abnormal; 11 to 21= abnormal.
Time Frame
Baseline to Week 12
Title
Study B: Percentage of participants experiencing TEAEs or SAEs from baseline through EOS
Description
Percentage of participants experiencing TEAEs or SAEs from baseline through EOS
Time Frame
Baseline to Week 24
Title
Study B: Incidence of treatment-emergent ADA against dupilumab
Description
Incidence of treatment-emergent ADA against dupilumab
Time Frame
Baseline to Week 24

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participant must be 18 (or the legal age of consent in the jurisdiction in which the study is taking place) to 90 years of age inclusive, at the time of signing the informed consent. Participants with chronic pruritus for at least 6 months before the screening visit. Chronic pruritus considered of unknown origin as assessed by the investigator at baseline (excluding chronic pruritus secondary to dermatological or systemic conditions, of neuropathic or psychogenic origin or secondary to drugs). Chronic pruritus must affect at least 2 of the following body areas: legs, arms, or trunk. History of insufficient control of the chronic pruritus with prior treatment. Participants should receive optimal treatment for concomitant conditions that could impact pruritus (eg, diabetes, iron deficiency). Participants must have a history of severe itch and a worst itch score of ≥7 at screening on the WI-NRS (score scale ranges from 0 to 10; higher score indicates worse itch) and Patient global impression of severity (PGIS) of pruritus scored "severe" at screening. Participants must have an average worst itch score of ≥7 in the 7 days prior to run-in visit and in the 7 days prior to Day 1 on the WI-NRS. Participants scored "severe" in the PGIS of pruritus on Day 1. Exclusion Criteria: Participants are excluded from the study if any of the following criteria apply: Severe concomitant illness(es) that, in the Investigator's judgment, would adversely affect the patient's participation in the study. Patients with active tuberculosis or non-tuberculous mycobacterial infection, or a history of incompletely treated tuberculosis, unless it is well documented by a specialist that the participant has been adequately treated and can now start treatment with a biologic agent. Diagnosed with, suspected of, or at high risk of endoparasitic infection, and/or use of antiparasitic drug within 2 weeks before the screening visit. HIV infection. Severe renal failure (dialysis). Active chronic or acute infection requiring treatment with systemic antibiotics, antivirals, or antifungals within 2 weeks before the run-in visit. Known or suspected immunodeficiency. Active malignancy or history of malignancy within 5 years before the baseline visit, except completely treated in situ carcinoma of the cervix and completely treated and resolved non metastatic squamous or basal cell carcinoma of the skin. History of hypersensitivity or intolerance to non-sedative antihistamines. Participation in prior dupilumab clinical study or have been treated with commercially available dupilumab. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Trial Transparency email recommended (Toll free number for US & Canada)
Phone
800-633-1610
Ext
option 6
Email
Contact-US@sanofi.com
Facility Information:
Facility Name
Kern Research, Inc-Site Number:8400016
City
Bakersfield
State/Province
California
ZIP/Postal Code
93301
Country
United States
Individual Site Status
Recruiting
Facility Name
Palm Harbor Dermatology-Site Number:8400024
City
Bellair
State/Province
Florida
ZIP/Postal Code
32756
Country
United States
Individual Site Status
Recruiting
Facility Name
University of Miami-Site Number:8400011
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Individual Site Status
Recruiting
Facility Name
Skin Care Physicians of Georgia-Site Number:8400030
City
Macon
State/Province
Georgia
ZIP/Postal Code
31217
Country
United States
Individual Site Status
Recruiting
Facility Name
Dawes Fretzin Clinical Research Group, LLC-Site Number:8400007
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46250
Country
United States
Individual Site Status
Recruiting
Facility Name
DS Research-Site Number:8400031
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40241
Country
United States
Individual Site Status
Recruiting
Facility Name
Johns Hopkins University-Site Number:8400020
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21205
Country
United States
Individual Site Status
Recruiting
Facility Name
Nebraska Medical Research Institute, Inc.-Site Number:8400014
City
Bellevue
State/Province
Nebraska
ZIP/Postal Code
68123
Country
United States
Individual Site Status
Recruiting
Facility Name
National Allergy, Asthma & Urticaria Centers of Charleston, PA-Site Number:8400032
City
North Charleston
State/Province
South Carolina
ZIP/Postal Code
29420-4211
Country
United States
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :0320005
City
Caba
State/Province
Buenos Aires
ZIP/Postal Code
1015
Country
Argentina
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :0320001
City
Caba
State/Province
Buenos Aires
ZIP/Postal Code
C1023AAB
Country
Argentina
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :0320006
City
Caba
State/Province
Buenos Aires
ZIP/Postal Code
C1055AAO
Country
Argentina
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :0320004
City
Rosario
State/Province
Santa Fe
ZIP/Postal Code
S2000DEJ
Country
Argentina
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :0320002
City
Buenos Aires
ZIP/Postal Code
C1121ABE
Country
Argentina
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :0320003
City
Ciudad Autonoma Buenos Aires
ZIP/Postal Code
C1414AIF
Country
Argentina
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1240001
City
Calgary
State/Province
Alberta
ZIP/Postal Code
T2G 1B1
Country
Canada
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1240002
City
London
State/Province
Ontario
ZIP/Postal Code
N6A2C2
Country
Canada
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1240003
City
Markham
State/Province
Ontario
ZIP/Postal Code
L3P 1X3
Country
Canada
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1240006
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M4C 1L1
Country
Canada
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1240005
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H4A 3T2
Country
Canada
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1240004
City
Verdun
State/Province
Quebec
ZIP/Postal Code
H4G 3E7
Country
Canada
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1560003
City
Beijing
ZIP/Postal Code
100191
Country
China
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1560004
City
Chengdu
ZIP/Postal Code
610041
Country
China
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1560005
City
Guangzhou
ZIP/Postal Code
510080
Country
China
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1560002
City
Hangzhou
ZIP/Postal Code
310006
Country
China
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1560001
City
Shanghai
ZIP/Postal Code
200040
Country
China
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :3480001
City
Budapest
ZIP/Postal Code
1036
Country
Hungary
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :3480005
City
Debrecen
ZIP/Postal Code
4031
Country
Hungary
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :3480003
City
Szeged
ZIP/Postal Code
6720
Country
Hungary
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :3480002
City
Zalaegerszeg
ZIP/Postal Code
8900
Country
Hungary
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :3800004
City
Torrette Di Ancona
State/Province
Ancona
ZIP/Postal Code
60126
Country
Italy
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :3800003
City
Milano
State/Province
Lombardia
ZIP/Postal Code
20122
Country
Italy
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :3800002
City
Rozzano
State/Province
Milano
ZIP/Postal Code
20089
Country
Italy
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :3800005
City
Firenze
ZIP/Postal Code
50125
Country
Italy
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :3800001
City
Roma
ZIP/Postal Code
00168
Country
Italy
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :3920002
City
Sakai-shi
State/Province
Osaka
ZIP/Postal Code
593-8324
Country
Japan
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :3920001
City
Tachikawa-shi
State/Province
Tokyo
ZIP/Postal Code
190-0023
Country
Japan
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :4100004
City
Ansan-si
State/Province
Gyeonggi-do
ZIP/Postal Code
15355
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :4100005
City
Seoul
State/Province
Seoul-teukbyeolsi
ZIP/Postal Code
03080
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :4100003
City
Busan
ZIP/Postal Code
602-739
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :4100001
City
Seoul
ZIP/Postal Code
07441
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :4100002
City
Seoul
ZIP/Postal Code
5278
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :6160003
City
Wroclaw
State/Province
Dolnoslaskie
ZIP/Postal Code
51-318
Country
Poland
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :6160001
City
Krakow
ZIP/Postal Code
30-033
Country
Poland
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :6160002
City
Krakow
ZIP/Postal Code
30-438
Country
Poland
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :7240002
City
Santullano De Mieres
State/Province
Asturias
ZIP/Postal Code
33611
Country
Spain
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :7240003
City
Barcelona
State/Province
Barcelona [Barcelona]
ZIP/Postal Code
08003
Country
Spain
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :7240005
City
Alicante
ZIP/Postal Code
03010
Country
Spain
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :7240004
City
Córdoba
ZIP/Postal Code
14004
Country
Spain
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :7240001
City
Pontevedra
ZIP/Postal Code
36002
Country
Spain
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
Links:
URL
https://www.chic-clinicaltrial.com/
Description
EFC16973 Chronic Pruritus of Unknown Origin Website

Learn more about this trial

Efficacy and Safety of Subcutaneous Dupilumab for the Treatment of Adult Participants With Chronic Pruritus of Unknown Origin (CPUO) (LIBERTY-CPUO-CHIC)

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