Evidence map›Paper›PMID 41200848›Full record

Trial reportPediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology2025

Dupilumab efficacy by disease severity in pediatric type 2 asthma.

Daniel J Jackson, Monika Gappa, Leonard B Bacharier, Antoine Deschildre, Kristie Ross, Changming Xia, Olivier Ledanois, Katherine Miller

2 registry-linked trialsAbstract readRandomized Controlled TrialClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology, 2025. 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT02948959 phase3completednot on this map

A Randomized, Double-blind, Placebo-controlled, Parallel Group Study to Evaluate the Efficacy and Safety of Dupilumab in Children 6 to <12 Years of Age With Uncontrolled Persistent Asthma

TypeinterventionalSponsorSanofiRan2017 to 2020Enrolled408ConditionsAsthmaArmsDupilumab, Placebo, Asthma Controller Therapies, Asthma Reliever Therapies
NCT03560466 phase3completednot on this map

One Year Study to Evaluate the Long-term Safety and Tolerability of Dupilumab in Pediatric Patients With Asthma Who Participated in a Previous Dupilumab Asthma Clinical Study

TypeinterventionalSponsorSanofiRan2018 to 2025Enrolled378ConditionsAsthmaArmsDupilumab (SAR231893/REGN668), Asthma controller therapies (incl. prednisone/prednisolone), Asthma reliever therapies
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Dupilumab efficacy by disease severity in pediatric type 2 asthma.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Trial
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

8 authors.

Daniel J JacksonUniversity of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.ORCID https://orcid.org/0000-0001-6938-2690
Monika GappaChildren's Hospital, Evangelisches Krankenhaus Düsseldorf, Düsseldorf, Germany.
Leonard B BacharierMonroe Carell Jr. Children's Hospital at Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Antoine DeschildrePediatric Pulmonology and Allergy Department, Jeanne de Flandre Hospital, CHU Lille, University of Lille, Lille, France.ORCID https://orcid.org/0000-0003-2006-7221
Kristie RossUH Rainbow Babies and Children's Hospital, Cleveland, Ohio, USA.
Changming XiaRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Olivier LedanoisSanofi, Paris, France.
Katherine MillerRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.

Funding

Regeneron Pharmaceuticals Inc.Sanofi
6 · The paper itself

Abstract

backgroundDupilumab demonstrated efficacy in children with asthma in phase 3 VOYAGE (NCT02948959) and open-label extension EXCURSION (NCT03560466) studies. This post hoc analysis assessed dupilumab's long-term efficacy by asthma severity at parent study baseline.

methodsChildren (6-11 years) with moderate-to-severe type 2 inflammatory asthma (PS baseline blood eosinophils ≥150 cells/μL or fractional exhaled nitric oxide ≥20 ppb) from placebo-controlled VOYAGE who enrolled in EXCURSION received dupilumab every 2 weeks for an additional 52 weeks. We assessed annualized severe exacerbation rates, change in pre-bronchodilator percent predicted forced expiratory volume in 1 second (FEV

resultsAmong 179 children (104 with moderate, 75 with severe asthma), dupilumab compared to placebo reduced unadjusted annualized severe exacerbation rates during VOYAGE in children with moderate (0.22 vs. 0.37) and severe (0.41 vs. 1.07) asthma, with sustained reductions in EXCURSION (moderate: 0.07 and 0.07; severe: 0.24 and 0.19). At VOYAGE Week 52, the change from the parent study baseline in pre-bronchodilator percent predicted FEV

conclusionLong-term dupilumab treatment reduced exacerbation rates and improved lung function and asthma control in children with type 2 asthma irrespective of disease severity, with numerically greater improvements in children with severe asthma.

Indexed as

Anti-Asthmatic AgentsAntibodies, Monoclonal, HumanizedAsthmaChildDouble-Blind MethodEosinophilsFemaleForced Expiratory VolumeHumansMaleSeverity of Illness IndexTreatment OutcomeAnti-Asthmatic AgentsAntibodies, Monoclonal, Humanizeddupilumabasthmaclinical trialdisease exacerbationdupilumablung volumespatient‐reported outcome

Identifiers

PMID41200848
PMCPMC12593181

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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.