Evidence map›Paper›PMID 36529811›Full record

Trial reportPaediatric drugs2023

Laboratory Safety from a Randomized 16-Week Phase III Study of Dupilumab in Children Aged 6 Months to 5 Years with Moderate-to-Severe Atopic Dermatitis.

Amy S Paller, Elaine C Siegfried, Michael J Cork, Andreas Wollenberg, Peter D Arkwright, Mercedes E Gonzalez, Benjamin Lockshin, Zhen Chen, Ashish Bansal, Noah A Levit and 1 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled TrialClinical Trial, Phase III
In one paragraph

Trial report in Paediatric drugs, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03346434 (A Phase 2/3 Study Investigating the Pharmacokinetics, Safety, and Efficacy of Dupilumab in Patients Aged ≥6 Months to <6 Years With Moderate-to-Severe Atopic Dermatitis), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03346434 phase2 / phase3completednot on this map

A Phase 2/3 Study Investigating the Pharmacokinetics, Safety, and Efficacy of Dupilumab in Patients Aged ≥6 Months to <6 Years With Moderate-to-Severe Atopic Dermatitis

TypeinterventionalSponsorRegeneron PharmaceuticalsRan2017 to 2021Enrolled202ConditionsDermatitis, AtopicArmsDupilumab, Matching placebo
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 5 countries.

Amy S PallerDepartments of Dermatology and Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.ORCID http://orcid.org/0000-0001-6187-6549
Elaine C SiegfriedSaint Louis University, St. Louis, MO, USA.
Michael J CorkSheffield Dermatology Research, University of Sheffield, Sheffield, UK.
Andreas WollenbergDepartment of Dermatology and Allergy, University Hospital, Ludwig-Maximilian University, Munich, Germany.ORCID http://orcid.org/0000-0003-0177-8722
Peter D ArkwrightLydia Becker Institute of Immunology and Inflammation, University of Manchester, Manchester, UK.ORCID http://orcid.org/0000-0002-7411-5375
Mercedes E GonzalezPediatric Skin Research, Coral Gables, FL, USA.ORCID http://orcid.org/0000-0001-8346-8298
Benjamin LockshinUS Dermatology Partners, Rockville, MD, USA.
Zhen ChenRegeneron Pharmaceuticals, Inc., Tarrytown, NY, USA.
Ashish BansalRegeneron Pharmaceuticals, Inc., Tarrytown, NY, USA.
Noah A LevitRegeneron Pharmaceuticals, Inc., Tarrytown, NY, USA.ORCID http://orcid.org/0000-0002-0797-5121
Randy PrescillaSanofi, 450 Water Street, Cambridge, MA, USA. Randy.Prescilla@sanofi.com.ORCID http://orcid.org/0000-0001-7672-5460
Regeneron (United States) · USCardinal Glennon Children’s Medical Center · USNorthwestern University · USSanofi (France) · FRUniversity of Manchester · GBUniversity of Miami · USUniversity of Sheffield · GBVrije Universiteit Brussel · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivePrevious studies of dupilumab for the treatment of moderate-to-severe atopic dermatitis in adults and adolescents, and severe atopic dermatitis in children aged 6 to < 12 years demonstrate no clinically important changes in laboratory parameters. The objective of this study was to assess laboratory outcomes in children aged 6 months to < 6 years with moderate-to-severe atopic dermatitis treated with dupilumab.

methodsIn this randomized, placebo-controlled, phase III trial of dupilumab, 161 children aged 6 months to < 6 years with moderate-to-severe atopic dermatitis were enrolled from 31 sites in Europe and North America and randomized 1:1 to receive subcutaneous placebo or dupilumab (5 kg to < 15 kg: 200 mg; 15 kg to < 30 kg: 300 mg) every 4 weeks plus topical corticosteroids for 16 weeks. Hematology, serum chemistry, and urinalysis assessments were analyzed on blood and urine samples collected at screening and weeks 4 and 16; descriptive statistics are provided.

resultsNo clinically meaningful changes in laboratory parameters were observed. While two cases of eosinophilia and one case each of neutropenia and leukocytosis were reported as treatment-emergent adverse events in the dupilumab plus topical corticosteroids group, these events were not associated with clinical symptoms and did not lead to treatment discontinuation or study withdrawal.

conclusionsThese results suggest that routine laboratory monitoring of children aged 6 months to < 6 years treated with dupilumab plus topical corticosteroids is not required. Limitations of this study include short study duration, and exclusion of patients with abnormalities in laboratory test results at screening. CLINICAL

trial registrationClinicalTrials.gov: NCT03346434, part B.

Indexed as

Dermatitis, AtopicAdolescentAdultAntibodies, Monoclonal, HumanizedChildDouble-Blind MethodGlucocorticoidsHumansInjections, SubcutaneousSeverity of Illness IndexTreatment OutcomeAntibodies, Monoclonal, HumanizeddupilumabGlucocorticoids

Identifiers

PMID36529811
PMCPMC9810566
OpenAlexW4311929780

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.