A Phase 3, Open-label, Efficacy-Assessor-Blinded Study, Comparing the Safety and Efficacy of Upadacitinib to Dupilumab in Children From 2 to Less Than 12 Years of Age With Moderate to Severe Atopic Dermatitis

Status: Recruiting
Location: See all (137) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 3
SUMMARY

Atopic dermatitis (AD) is a skin condition that may cause a rash and itching due to inflammation of the skin. Topical therapies applied over the skin may not be enough to control the AD in trial participants who require systemic anti-inflammatory treatment. This study compares upadacitinib to dupilumab in pediatric participants with moderate to severe AD who are candidates for systemic therapy. Adverse events and change in the disease activity will be assessed. Upadacitinib is an approved drug for treating AD patients aged 12 or older. Participants will receive upadacitinib (given as daily dose) or dupilumab (given at label indicated dose every 2 or 4 weeks). Participants will be stratified depending on disease severity, age and response to previous treatment. There is 1 in 5 chance for participants to receive dupilumab during the randomized cohort. Approximately 675 participants aged 2 to less than 12 years of age will be enrolled in this study at approximately 150 sites worldwide. The study population (As defined by participants age or prior treatment) to be enrolled in the study is dependent on local regulatory requirement and/or agreement. Participants will receive upadacitinib oral tablets once daily (or oral solution twice a day) for 160 weeks, or dupilumab as per its label for 52 weeks, and followed for 30 days after the last dose of upadacitinib and at least 12 weeks after the last dose of dupilumab. There may be higher treatment burden for participants in this trial compared to their standard of care . Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by clinical assessments, blood tests, checking for side effects and completing questionnaires.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 2
Maximum Age: 11
Healthy Volunteers: f
View:

• A minimum weight of 10 kg and weight and height \> 5th percentile for their age according to local standard growth charts at the Baseline Visit.

• Atopic Dermatitis (AD), according to Hanifin and Rajka criteria, with onset of symptoms at least 6 months prior to Baseline.

• Eczema Area and Severity Index (EASI) score \>= 16; vIGA-AD score \>= 3 (Note: In countries where dupilumab is only approved for severe AD, subjects to be included in the Randomized Cohort should have severe AD \[vIGA-AD = 4\]); \>= 10% Body Surface Area of AD involvement at the Baseline Visit; and Baseline weekly average of daily Worst Itch Scale (WIS) or Worst Scratch/Itch numerical rating scale (WSI-NRS) \>= 4.

• Participant must satisfy at least one of the following criteria (Note: More than 1 criterion may apply to an individual participant. All applicable criteria for each individual participant should be reported):

• To be included in the Randomized Cohort (Note: Participants must have severe AD \[vIGA-AD = 4\] in countries where dupilumab is approved only for severe AD.):

∙ \[For all countries except US\] Documented history of inadequate response or intolerance to TCS and/or TCI OR for whom use of one or more of these topical treatments is medically inadvisable (e.g., high disease burden, Scoring Atopic Dermatitis (SCORAD) \> 50, EASI score \> 21, or vIGA-AD \> 3).

‣ For dupilumab-naïve participants: History of inadequate response to a systemic therapy for AD other than dupilumab or oral corticosteroids or for whom the available systemic treatments are otherwise medically inadvisable (e.g., because of important side effects or safety risks).

‣ History of inadequate response to 2 or more courses of oral corticosteroid therapy given for \>= 14 days within 6 months prior to Screening or history of oral corticosteroid rebound, defined as recurrence of AD symptoms within 4 months after its discontinuation.

‣ For dupilumab-exposed participants: Prior exposure to dupilumab without documented history of inadequate response or intolerance (i.e., discontinuation of dupilumab for a non-medical reason, such as, but not limited to, non-coverage or loss of coverage for the drug by health insurance, or other logistic challenges \[not safety- or efficacy-related\] precluding the participants continued access to dupilumab).

• To be included in the Dupi-IR/Dupi-Medically Inadvisable Cohort:

‣ Previous inadequate response or intolerance to dupilumab OR

⁃ Dupilumab is medically inadvisable (e.g., allergy to a component of dupilumab, etc.) AND a documented history of inadequate response or intolerance to TCS and/or TCI.

Locations
United States
Arkansas
Applied Research Center Of Arkansas /ID# 268547
RECRUITING
Little Rock
California
Integrative Skin Science and Research /ID# 265108
RECRUITING
Sacramento
Florida
Clearlyderm Dermatology - West Boca /ID# 266323
COMPLETED
Boca Raton
Pediatric Skin Research /ID# 266308
RECRUITING
Coral Gables
Neoclinical Research - Hialeah /ID# 269694
RECRUITING
Hialeah
Georgia
Cleaver Medical Group Dermatology /ID# 265099
RECRUITING
Dawsonville
Aeroallergy Research Laboratory /ID# 267247
RECRUITING
Savannah
Idaho
Treasure Valley Medical Research /ID# 266838
RECRUITING
Boise
Illinois
Northwestern University Feinberg School of Medicine /ID# 265117
RECRUITING
Chicago
Sneeze Wheeze & Itch Associates /ID# 267238
RECRUITING
Normal
Indiana
Dawes Fretzin, LLC /ID# 265097
RECRUITING
Indianapolis
Kentucky
Equity Medical, LLC /ID# 268270
RECRUITING
Bowling Green
Maryland
Maryland Allergy & Asthma Center /ID# 268032
RECRUITING
Lanham
DermAssociates - Rockville /ID# 266457
RECRUITING
Rockville
Missouri
Washington University School of Medicine - St. Louis /ID# 268545
RECRUITING
St Louis
Nebraska
Skin Specialists /ID# 266331
RECRUITING
Omaha
Ohio
DOCS Clinical Research - Canal Winchester /ID# 268271
RECRUITING
Canal Winchester
Wright State Physicians Health Center /ID# 268841
RECRUITING
Fairborn
Oregon
Oregon Health and Science University /ID# 266483
RECRUITING
Portland
South Carolina
Medical University of South Carolina /ID# 265113
RECRUITING
Charleston
Tennessee
International Clinical Research - Tennessee /ID# 268548
RECRUITING
Murfreesboro
Texas
Arlington Research Center, Inc /ID# 266330
RECRUITING
Arlington
3A Research - East location /ID# 267622
RECRUITING
El Paso
Prime Clinical Research - Mansfield - East Broad Street /ID# 268042
RECRUITING
Mansfield
Progressive Clinical Research - San Antonio /ID# 267262
RECRUITING
San Antonio
Texas Dermatology and Laser Specialists /ID# 267249
RECRUITING
San Antonio
Utah
Jordan Valley Dermatology & Research Center /ID# 267092
RECRUITING
South Jordan
Wisconsin
Wisconsin Medical Center /ID# 267236
RECRUITING
Milwaukee
West Virginia
West Virginia University Hospitals /ID# 265114
RECRUITING
Morgantown
Other Locations
Australia
Monash Health - Monash Medical Centre /ID# 267149
RECRUITING
Clayton
Institute for Skin, Health and Immunity /ID# 266158
RECRUITING
Mitcham
The Children's Hospital at Westmead /ID# 265430
RECRUITING
Westmead
Austria
Medizinische Universitaet Graz /ID# 262741
RECRUITING
Graz
Landeskrankenhaus Salzburg-Universitaetsklinikum der PMU (LKH) /ID# 265427
RECRUITING
Salzburg
Medizinische Universitaet Wien /ID# 265417
RECRUITING
Vienna
Brazil
Hospital e Maternidade Celso Pierro - PUC-Campinas /ID# 266965
RECRUITING
Campinas
Irmandade da Santa Casa de Misericórdia de Porto Alegre /ID# 267455
RECRUITING
Porto Alegre
Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto /ID# 266964
RECRUITING
Ribeirão Preto
Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao /ID# 266667
RECRUITING
São Paulo
Clinica de Alergia Martti Antila /ID# 266197
RECRUITING
Sorocaba
Bulgaria
Medical Center Cordis /ID# 265250
RECRUITING
Pleven
UMHAT Alexandrovska EAD /ID# 265256
RECRUITING
Sofiya
Canada
Dermatology Research Institute - Blackfoot Trail /ID# 266744
RECRUITING
Calgary
Rejuvenation Dermatology - Edmonton Downtown /ID# 267871
RECRUITING
Edmonton
Maritime Dermatology /ID# 267359
RECRUITING
Halifax
Leader Research /ID# 266745
RECRUITING
Hamilton
Triple A Lab Inc /ID# 266615
RECRUITING
Hamilton
Lynderm Research Inc /ID# 267006
RECRUITING
Markham
Centre Hospitalier Universitaire (CHU) Sainte-Justine /ID# 266831
RECRUITING
Montreal
Allergy Research Canada /ID# 270230
RECRUITING
Niagara Falls
DermAtelier on Avenue /ID# 267850
RECRUITING
Toronto
British Columbia Children and Women's Hospital and Health Centre /ID# 265395
RECRUITING
Vancouver
China
Beijing Children's Hospital /ID# 266350
RECRUITING
Beijing
Hunan Children's Hospital /ID# 266365
RECRUITING
Changsha
Chengdu Women and Children Center Hospital /ID# 266402
RECRUITING
Chengdu
Dalian Medical University - Dalian Children's Hospital /ID# 266675
RECRUITING
Dalian
Kunming Childrens Hospital /ID# 266555
RECRUITING
Kunming
Shenzhen Children's Hospital /ID# 266401
RECRUITING
Shenzhen
The 2nd Affiliated Hospital and Yuying Children's Hospital of WMU /ID# 266708
RECRUITING
Wenzhou
Xiamen Children's Hospital /ID# 266384
RECRUITING
Xiamen
Children's Hospital Affiliated to Chongqing Medical University /ID# 266876
RECRUITING
Yuzhong District
Henan Children's Hospital Zhengzhou Children's Hospital /ID# 266832
RECRUITING
Zhengzhou
Croatia
Specialty Hospital Medico /ID# 266116
RECRUITING
Rijeka
Klinicki Bolnicki Centar KBC Split /ID# 265359
RECRUITING
Split
Klinika za dječje bolesti Zagreb /ID# 264936
RECRUITING
Zagreb
Poliklinika DermaPlus /ID# 265724
RECRUITING
Zagreb
Poliklinika Solmed /ID# 265070
RECRUITING
Zagreb
France
CHU Amiens-Picardie Site Sud /ID# 255083
RECRUITING
Amiens
Centre Hospitalier d Argenteuil Victor Dupouy /ID# 265448
RECRUITING
Argenteuil
CHU Bordeaux - Hopital Pellegrin /ID# 266818
RECRUITING
Bordeaux
Centre Hospitalier Universitaire de Clermont Ferrand - Hopital Estaing /ID# 267327
RECRUITING
Clermont-ferrand
Centre Hospitalier Universitaire de Nantes - L' Hopital l'hôtel-Dieu /ID# 265449
RECRUITING
Nantes
AP-HP - Hopital Necker /ID# 255050
RECRUITING
Paris
CHU Toulouse - Hopital Larrey /ID# 255048
RECRUITING
Toulouse
Centre Hospitalier Régional Universitaire de Nancy - Hôpitaux de Brabois /ID# 265455
RECRUITING
Vandœuvre-lès-nancy
Germany
Fachklinik Bad Bentheim /ID# 255165
RECRUITING
Bad Bentheim
Charite Universitaetsmedizin Berlin - Campus Mitte /ID# 267411
RECRUITING
Berlin
Universitaetsklinikum Carl Gustav Carus Dresden /ID# 255167
RECRUITING
Dresden
Universitaetsklinikum Erlangen /ID# 255168
RECRUITING
Erlangen
Universitaetsklinikum Muenster /ID# 255166
RECRUITING
Münster
Hungary
Debreceni Egyetem-Klinikai Kozpont /ID# 265331
RECRUITING
Debrecen
DermaMed Research - Oroshaza /ID# 266995
RECRUITING
Orosháza
Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont /ID# 265653
RECRUITING
Szeged
Israel
HaEmek Medical Center /ID# 266416
RECRUITING
Afula
Soroka Medical Center /ID# 265251
RECRUITING
Beersheba
Hadassah Medical Center-Hebrew University /ID# 255041
RECRUITING
Jerusalem
Schneider Childrens Medical Center of Israel /ID# 265617
RECRUITING
Petah Tikva
The Chaim Sheba Medical Center /ID# 265254
RECRUITING
Ramat Gan
Italy
IRCCS AOU di Bologna Policlinico Sant Orsola Malpighi /ID# 255118
RECRUITING
Bologna
Azienda Ospedaliero-Universitaria Policlinico Umberto I /ID# 267070
RECRUITING
Rome
Ospedale Pediatrico Bambino Gesù /ID# 266118
RECRUITING
Rome
Netherlands
Amsterdam UMC, locatie AMC /ID# 265406
RECRUITING
Amsterdam
Erasmus Medisch Centrum /ID# 265408
RECRUITING
Rotterdam
Poland
NZOZ Specjalistyczny Osrodek Dermatologiczny Dermal /ID# 266613
RECRUITING
Bialystok
Centrum Badan Klinicznych PI-House sp. z o.o. /ID# 265451
RECRUITING
Gdansk
Centrum Medyczne Angelius Provita /ID# 265456
RECRUITING
Katowice
Centrum Nowoczesnych Terapii 'Dobry Lekarz' sp.z.o.o. /ID# 266030
RECRUITING
Krakow
Specjalistyczny Niepubliczny Zaklad Opieki Zdrowotnej Alergologia Plus /ID# 265457
RECRUITING
Poznan
MICS Centrum Medyczne Torun / Nasz Lekarz Przychodnie Medyczne /ID# 265454
RECRUITING
Torun
Clinical Research Group Sp. z o.o. /ID# 266924
RECRUITING
Warsaw
Klinika Ambroziak Dermatologia /ID# 265458
RECRUITING
Warsaw
Klinika Osipowicz & Turkowski sp.z.o.o /ID# 267490
RECRUITING
Warsaw
Royalderm Agnieszka Nawrocka /ID# 266606
RECRUITING
Warsaw
Portugal
Unidade Local de Saude de Coimbra, EPE /ID# 266115
RECRUITING
Coimbra
Unidade Local de Saude de Santo Antonio, E.P.E. /ID# 266112
RECRUITING
Porto
Unidade Local de Saude Sao Joao, EPE /ID# 266111
RECRUITING
Porto
Puerto Rico
Clinical Research Investigator Group, LLC /ID# 268366
RECRUITING
Bayamón
Private Practice - Dr. Alma Cruz /ID# 264234
RECRUITING
Carolina
Republic of Korea
Korea University Ansan Hospital /ID# 264169
RECRUITING
Ansan-si
Soon Chun Hyang University Hospital Bucheon /ID# 264171
RECRUITING
Bucheon-si
Chungang University Hospital /ID# 266383
RECRUITING
Dongjak-gu
Hallym University Kangnam Sacred Heart Hospital /ID# 267318
RECRUITING
Seoul
Konkuk University Medical Center /ID# 264178
RECRUITING
Seoul
Seoul National University Hospital /ID# 264176
RECRUITING
Seoul
Singapore
KK Women's and Children's Hospital /ID# 266519
RECRUITING
Singapore
National University Hospital /ID# 265685
RECRUITING
Singapore
Slovakia
Narodny Ustav Detskych Chorob /ID# 265253
RECRUITING
Bratislava
ALERSA, s.r.o. /ID# 266245
RECRUITING
Košice
Univerzitna nemocnica L. Pasteura Kosice /ID# 265239
RECRUITING
Košice
Univerzitna nemocnica Martin /ID# 265947
RECRUITING
Martin
Fakultna nemocnica Trnava /ID# 265245
RECRUITING
Trnava
Spain
Hospital Sant Joan de Deu /ID# 255287
RECRUITING
Esplugues De Llobregat
Hospital General Universitario Gregorio Maranon /ID# 255288
RECRUITING
Madrid
Hospital Universitario La Paz /ID# 255286
RECRUITING
Madrid
Consorci Hospital General Universitario de Valencia /ID# 255289
RECRUITING
Valencia
Hospital Universitario Miguel Servet /ID# 255290
RECRUITING
Zaragoza
Taiwan
Kaohsiung Chang Gung Memorial Hospital /ID# 267791
RECRUITING
Kaohsiung City
New Taipei Municipal TuCheng Hospital (Built and Operated by Chang Gung Medical /ID# 266349
RECRUITING
New Taipei City
Taipei Veterans General Hospital /ID# 265507
RECRUITING
Taipei
National Taiwan University Hospital /ID# 265510
RECRUITING
Taipei City
Linkou Chang Gung Memorial Hospital /ID# 263664
RECRUITING
Taoyuan
United Kingdom
Queen Elizabeth University Hospital - NHS Greater Glasgow and Clyde /ID# 265219
RECRUITING
Glasgow
Chelsea and Westminster Hospital /ID# 266389
RECRUITING
London
St George University Hospitals NHS Foundation Trust /ID# 266984
RECRUITING
London
Manchester University NHS Foundation Trust /ID# 267693
RECRUITING
Manchester
Royal Victoria Infirmary /ID# 265238
RECRUITING
Newcastle Upon Tyne
Derriford Hospital and the Royal Eye Infirmary /ID# 266980
RECRUITING
Plymouth
Contact Information
Primary
ABBVIE CALL CENTER
abbvieclinicaltrials@abbvie.com
844-663-3742
Time Frame
Start Date: 2024-08-19
Estimated Completion Date: 2030-07
Participants
Target number of participants: 675
Treatments
Experimental: Dupi-IR Cohort
Participants in this cohort will receive upadacitinib medium dose.
Experimental: Randomized Cohort
Participants in the Randomized Cohort will be randomized to receive either medium dose upadacitinib daily adult equivalent dose, low dose upadacitinib daily adult equivalent dose or dupilumab every 2 weeks or 4 weeks (at the label-indicated dose and frequency).
Related Therapeutic Areas
Sponsors
Leads: AbbVie

This content was sourced from clinicaltrials.gov

Similar Clinical Trials