Evidence map›Paper›PMID 38743155›Full record

Trial reportAmerican journal of clinical dermatology2024

Dupilumab Safety and Efficacy up to 1 Year in Children Aged 6 Months to 5 Years with Atopic Dermatitis: Results from a Phase 3 Open-Label Extension Study.

Amy S Paller, Elaine C Siegfried, Eric L Simpson, Michael J Cork, Robert Sidbury, Iris H Chen, Faisal A Khokhar, Jing Xiao, Ariane Dubost-Brama, Ashish Bansal

2 registry-linked trialsAbstract readClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in American journal of clinical dermatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT02612454 phase3active not recruitingnot on this map

An Open-Label Extension Study to Assess the Long-Term Safety and Efficacy of Dupilumab in Patients ≥6 Months to <18 Years of Age With Atopic Dermatitis

TypeinterventionalSponsorRegeneron PharmaceuticalsRan2015 to 2026Enrolled880ConditionsAtopic DermatitisArmsDupilumab
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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  10. Update on biologic and small molecules treatments in pediatric allergic diseases.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
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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

10 authors.

Amy S Paller *Northwestern University Feinberg School of Medicine, Chicago, IL, USA. apaller@nm.org.ORCID http://orcid.org/0000-0001-6187-6549
Elaine C Siegfried *Saint Louis University, St. Louis, MO, USA.
Eric L SimpsonDepartment of Dermatology, Oregon Health and Science University, Portland, OR, USA.
Michael J CorkDepartment of Infection, Immunity and Cardiovascular Disease, Sheffield Dermatology Research, University of Sheffield, Sheffield, UK.
Robert SidburySeattle Children's Hospital, Seattle, WA, USA.
Iris H ChenSanofi, Bridgewater, NJ, USA.
Faisal A KhokharRegeneron Pharmaceuticals Inc, Tarrytown, NY, USA.
Jing XiaoRegeneron Pharmaceuticals Inc, Tarrytown, NY, USA.
Ariane Dubost-BramaSanofi, Chilly-Mazarin, France.
Ashish BansalRegeneron Pharmaceuticals Inc, Tarrytown, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPediatric patients with moderate-to-severe atopic dermatitis (AD) often experience a high disease burden and have a high risk of persistent disease. Standard-of-care immunosuppressive systemic treatments have been used off-label for AD in pediatric patients despite concerns for suboptimal safety with continuous use and risk of relapse upon discontinuation. The biologic agent dupilumab is the first systemic treatment approved for moderate-to-severe AD in children as young as 6 months. Long-term safety and efficacy data in this patient population are needed to inform continuous AD management.

objectivesThe purpose of this work was to determine the long-term safety and efficacy of dupilumab treatment up to 1 year in an open-label extension (OLE) study [LIBERTY AD PED-OLE (NCT02612454)] in children aged 6 months to 5 years with moderate-to-severe AD who previously participated in the 16-week, double-blind, phase 3 LIBERTY AD PRESCHOOL trial (NCT03346434 part B; parent study) and were subsequently enrolled in PED-OLE.

methodsIn PED-OLE, patients received dupilumab every 4 weeks according to a weight-tiered regimen (body weight ≥ 5 kg to < 15 kg: 200 mg; ≥ 15 kg to < 30 kg: 300 mg).

resultsData for 142 patients were analyzed, 60 of whom had completed the 52-week visit at time of database lock. Mean age at baseline was 4.1 y [SD, 1.13; range, 1.0-5.9 years]. A majority (78.2%) of patients reported ≥ 1 treatment-emergent adverse event (TEAE), most of which were mild or moderate and transient. The most frequently reported TEAEs were nasopharyngitis (19.7%), cough (15.5%), and pyrexia (14.1%). One TEAE led to treatment discontinuation (severe urticaria, which resolved in 1 day). By week 52, 36.2% of patients had achieved an Investigator's Global Assessment score of 0/1 (clear/almost clear skin), and 96.6%, 79.3%, and 58.6% had at least 50%, 75%, or 90% improvement, respectively, in Eczema Area and Severity Index scores.

conclusionsConsistent with results seen in adults, adolescents, and older children (aged 6-11 years), treatment with dupilumab for up to 1 year in children aged 6 months to 5 years with inadequately controlled moderate-to-severe AD demonstrated an acceptable long-term safety profile and sustained efficacy. These results support the long-term continuous use of dupilumab in this patient population.

trial registrationClinicalTrials.gov Identifiers: NCT02612454 and NCT03346434 (part B).

Indexed as

Antibodies, Monoclonal, HumanizedDermatitis, AtopicSeverity of Illness IndexChild, PreschoolDouble-Blind MethodDrug Administration ScheduleFemaleHumansInfantInjections, SubcutaneousInterleukin-4 Receptor alpha SubunitMaleNasopharyngitisTime FactorsTreatment OutcomeAntibodies, Monoclonal, HumanizeddupilumabInterleukin-4 Receptor alpha Subunit

Identifiers

PMID38743155
PMCPMC11193700

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.