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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05263206
Registration number
NCT05263206
Ethics application status
Date submitted
22/02/2022
Date registered
2/03/2022
Date last updated
20/08/2025
Titles & IDs
Public title
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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Scientific 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)
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Secondary ID [1]
0
0
U1111-1253-9888
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Secondary ID [2]
0
0
EFC16973
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Pruritus
0
0
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Condition category
Condition code
Skin
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0
0
0
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Other skin conditions
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Dupilumab
Treatment: Drugs - Placebo
Treatment: Drugs - Fexofenadine (loratadine if not available)
Experimental: Dupilumab - Loading dose administered subcutaneous (SC), followed by SC once every 2 weeks (Q2W) on top of non-sedative antihistamine and moisturizer
Placebo comparator: Placebo - Loading dose administered SC, followed by SC Q2W on top of non-sedative antihistamine and moisturizer
Treatment: Drugs: Dupilumab
Injection solution subcutaneous
Treatment: Drugs: Placebo
Injection solution SC
Treatment: Drugs: Fexofenadine (loratadine if not available)
Tablet or capsule Oral
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Intervention code [1]
0
0
Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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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
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Assessment method [1]
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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").
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Timepoint [1]
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0
Baseline to Week 24
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Primary outcome [2]
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0
Study B: Proportion of participants with improvement (reduction) in weekly average of daily WI-NRS by =4 from baseline to Week 12
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Assessment method [2]
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WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
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Timepoint [2]
0
0
Baseline to Week 12
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Secondary outcome [1]
0
0
Study A; Proportion of participants with improvement (reduction) in weekly average of daily WI-NRS by =4 from baseline to Week 12
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Assessment method [1]
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0
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
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Timepoint [1]
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0
Baseline to Week 12
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Secondary outcome [2]
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0
Study A: Proportion of participants who scored "none" or "mild" in Patient Global Impression of Severity (PGIS) of pruritus at Week 24
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Assessment method [2]
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0
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".
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Timepoint [2]
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0
Week 24
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Secondary outcome [3]
0
0
Study A: Proportion of participants with improvement (reduction) in weekly average of daily WI-NRS by =4 from baseline over time until Week 24
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Assessment method [3]
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0
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
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Timepoint [3]
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0
Baseline to Week 24
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Secondary outcome [4]
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Study A: Time to first response of WI-NRS =4 points reduction from baseline by Week 24
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Assessment method [4]
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0
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
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Timepoint [4]
0
0
Baseline to Week 24
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Secondary outcome [5]
0
0
Study A: Absolute change from baseline in weekly average of daily WI-NRS at Week 24
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Assessment method [5]
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0
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
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Timepoint [5]
0
0
Baseline to Week 24
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Secondary outcome [6]
0
0
Study A: Percent change from baseline in weekly average of daily WI-NRS at Week 24
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Assessment method [6]
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0
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
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Timepoint [6]
0
0
Baseline to Week 24
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Secondary outcome [7]
0
0
Study A: Proportion of participants who scored "none" or "mild" in PGIS of pruritus at Week 12
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Assessment method [7]
0
0
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".
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Timepoint [7]
0
0
Week 12
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Secondary outcome [8]
0
0
Study A: Absolute change from baseline in weekly average of daily WI-NRS at Week 12
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Assessment method [8]
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0
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
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Timepoint [8]
0
0
Baseline to Week 12
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Secondary outcome [9]
0
0
Study A: Percent change from baseline in weekly average of daily WI-NRS at Week 12
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Assessment method [9]
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WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
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Timepoint [9]
0
0
Baseline to Week 12
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Secondary outcome [10]
0
0
Study A: Absolute change from baseline in weekly average of daily sleep disturbance numerical rating scale (NRS) at Week 24
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Assessment method [10]
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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.
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Timepoint [10]
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0
Baseline to Week 24
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Secondary outcome [11]
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Study A: Percent change from baseline in weekly average of daily sleep disturbance NRS at Week 24
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Assessment method [11]
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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.
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Timepoint [11]
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Baseline to Week 24
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Secondary outcome [12]
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Study A: Change from baseline in Dermatology Life Quality Index (DLQI) score at Week 24
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Assessment method [12]
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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.
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Timepoint [12]
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0
Baseline to Week 24
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Secondary outcome [13]
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Study A: Change from baseline in the Itchy quality of life (ItchyQoL) score at Week 24
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Assessment method [13]
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ItchyQoL is a pruritus-specific QoL instrument that measures specifically disease burden in pruritus patients.
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Timepoint [13]
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Baseline to Week 24
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Secondary outcome [14]
0
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Study A: Change from baseline in Hospital Anxiety and Depression Scale (HADS) total score at Week 24
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Assessment method [14]
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0
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.
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Timepoint [14]
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Baseline to Week 24
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Secondary outcome [15]
0
0
Study A: Absolute change from baseline in weekly average of daily sleep disturbance NRS at Week 12
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Assessment method [15]
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0
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.
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Timepoint [15]
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0
Baseline to Week 12
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Secondary outcome [16]
0
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Study A: Percent change from baseline in weekly average of daily sleep disturbance NRS at Week 12
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Assessment method [16]
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0
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.
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Timepoint [16]
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0
Baseline to Week 12
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Secondary outcome [17]
0
0
Study A: Change from baseline in DLQI score at Week 12
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Assessment method [17]
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0
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.
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Timepoint [17]
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0
Baseline to Week 12
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Secondary outcome [18]
0
0
Study A: Change from baseline in the ItchyQoL score at Week 12
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Assessment method [18]
0
0
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.
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Timepoint [18]
0
0
Baseline to Week 12
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Secondary outcome [19]
0
0
Study A: Change from baseline in HADS total score at Week 12
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Assessment method [19]
0
0
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.
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Timepoint [19]
0
0
Baseline to Week 12
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Secondary outcome [20]
0
0
Study A: Percentage of participants experiencing treatment-emergent adverse events (TEAEs) or serious adverse events (SAEs) from baseline through end of study (EOS)
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Assessment method [20]
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Percentage of participants experiencing TEAEs or SAEs from baseline through EOS
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Timepoint [20]
0
0
Baseline to Week 36
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Secondary outcome [21]
0
0
Study A: Incidence of treatment-emergent antidrug antibodies (ADA) against dupilumab
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Assessment method [21]
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0
Incidence of treatment-emergent ADA against dupilumab
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Timepoint [21]
0
0
Baseline to Week 36
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Secondary outcome [22]
0
0
Study B: Proportion of participants who scored "none" or "mild" in PGIS of pruritus at Week 24
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Assessment method [22]
0
0
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".
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Timepoint [22]
0
0
Week 24
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Secondary outcome [23]
0
0
Study B: Proportion of participants who scored "none" or "mild" in PGIS of pruritus at Week 12
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Assessment method [23]
0
0
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".
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Timepoint [23]
0
0
Week 12
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Secondary outcome [24]
0
0
Study B: Absolute change from baseline in weekly average of daily WI-NRS at Week 12
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Assessment method [24]
0
0
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
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Timepoint [24]
0
0
Baseline to Week 12
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Secondary outcome [25]
0
0
Study B: Percent change from baseline in weekly average of daily WI-NRS at Week 12
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Assessment method [25]
0
0
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
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Timepoint [25]
0
0
Baseline to Week 12
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Secondary outcome [26]
0
0
Study B: Absolute change from baseline in weekly average of daily WI-NRS at Week 24
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Assessment method [26]
0
0
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
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Timepoint [26]
0
0
Baseline to Week 24
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Secondary outcome [27]
0
0
Study B: Percentage change from baseline in weekly average of daily WI-NRS at Week 24
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Assessment method [27]
0
0
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
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Timepoint [27]
0
0
Baseline to Week 24
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Secondary outcome [28]
0
0
Study B: Proportion of participants with improvement (reduction) in weekly average of daily WI-NRS by =4 from baseline, sustained from Week 19 through Week 24
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Assessment method [28]
0
0
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
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Timepoint [28]
0
0
Baseline to Week 19 through Week 24
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Secondary outcome [29]
0
0
Study B: Proportion of participants with improvement (reduction) in weekly average of daily WI-NRS by =5 from baseline to Week 24
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Assessment method [29]
0
0
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
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Timepoint [29]
0
0
Baseline to Week 24
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Secondary outcome [30]
0
0
Study B: Proportion of participants with improvement (reduction) in weekly average of daily WI-NRS by =4 from baseline to Week 24
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Assessment method [30]
0
0
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
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Timepoint [30]
0
0
Baseline to Week 24
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Secondary outcome [31]
0
0
Study B: Proportion of participants with weekly average of daily WI-NRS <2 at Week 24
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Assessment method [31]
0
0
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
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Timepoint [31]
0
0
Week 24
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Secondary outcome [32]
0
0
Study B: Time to first response of WI-NRS =4 points reduction from baseline by Week 24
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Assessment method [32]
0
0
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
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Timepoint [32]
0
0
Baseline to Week 24
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Secondary outcome [33]
0
0
Study B: Proportion of participants with improvement (reduction) in weekly average of daily WI-NRS by =5 from baseline to Week 12
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Assessment method [33]
0
0
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
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Timepoint [33]
0
0
Baseline to Week 12
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Secondary outcome [34]
0
0
Study B: Proportion of participants with weekly average of daily WI-NRS <2 at Week 12
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Assessment method [34]
0
0
WI-NRS is a PRO comprised of a single item rated on a scale from 0 ("No itch") to 10 ("Worst imaginable itch").
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Timepoint [34]
0
0
Week 12
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Secondary outcome [35]
0
0
Study B: Absolute change from baseline in weekly average of daily itch-related sleep disturbance NRS at Week 12 and Week 24
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Assessment method [35]
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0
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.
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Timepoint [35]
0
0
Baseline to Week 12 and Week 24
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Secondary outcome [36]
0
0
Study B: Percent change from baseline in weekly average of daily itch-related sleep disturbance NRS at Week 12 and Week 24
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Assessment method [36]
0
0
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.
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Timepoint [36]
0
0
Baseline to Week 12 and Week 24
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Secondary outcome [37]
0
0
Study B: Change from baseline in DLQI score at Week 12 and Week 24
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Assessment method [37]
0
0
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.
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Timepoint [37]
0
0
Baseline to Week 12 and Week 24
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Secondary outcome [38]
0
0
Study B: Change from baseline in the ItchyQoL score at Week 12 and Week 24
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Assessment method [38]
0
0
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.
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Timepoint [38]
0
0
Baseline to Week 12 and Week 24
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Secondary outcome [39]
0
0
Study B: Change from baseline in HADS total score at Week 12 and Week 24
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Assessment method [39]
0
0
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.
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Timepoint [39]
0
0
Baseline to Week 12 and Week 24
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Secondary outcome [40]
0
0
Study B: Percentage of participants experiencing TEAEs or SAEs from baseline through EOS
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Assessment method [40]
0
0
Percentage of participants experiencing TEAEs or SAEs from baseline through EOS
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Timepoint [40]
0
0
Baseline to Week 36
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Secondary outcome [41]
0
0
Study B: Incidence of treatment-emergent ADA against dupilumab
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Assessment method [41]
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0
Incidence of treatment-emergent ADA against dupilumab
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Timepoint [41]
0
0
Baseline to Week 36
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Eligibility
Key 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.
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Minimum age
18
Years
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Maximum age
90
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key 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.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
15/02/2022
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
25/08/2027
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Actual
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Sample size
Target
284
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
0
0
Investigational Site Number : 0320003 - Birtinya
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Recruitment hospital [2]
0
0
Investigational Site Number : 0320007 - Maroochydore
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Recruitment postcode(s) [1]
0
0
4575 - Birtinya
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Recruitment postcode(s) [2]
0
0
4558 - Maroochydore
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Recruitment outside Australia
Country [1]
0
0
United States of America
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State/province [1]
0
0
California
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Country [2]
0
0
United States of America
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State/province [2]
0
0
District of Columbia
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Country [3]
0
0
United States of America
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State/province [3]
0
0
Florida
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Country [4]
0
0
United States of America
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State/province [4]
0
0
Georgia
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Country [5]
0
0
United States of America
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State/province [5]
0
0
Illinois
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Country [6]
0
0
United States of America
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State/province [6]
0
0
Indiana
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Country [7]
0
0
United States of America
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State/province [7]
0
0
Kentucky
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Country [8]
0
0
United States of America
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State/province [8]
0
0
Maryland
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Country [9]
0
0
United States of America
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State/province [9]
0
0
Nebraska
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Country [10]
0
0
United States of America
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State/province [10]
0
0
New York
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Country [11]
0
0
United States of America
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State/province [11]
0
0
South Carolina
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Country [12]
0
0
United States of America
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State/province [12]
0
0
Texas
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Country [13]
0
0
Argentina
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State/province [13]
0
0
Buenos Aires
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Country [14]
0
0
Canada
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State/province [14]
0
0
Alberta
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Country [15]
0
0
Canada
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State/province [15]
0
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Ontario
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Debrecen
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Italy
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Ancona
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Italy
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Firenze
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Como
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Chiba
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Busan
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Taipei
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Taoyuan
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United Kingdom
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Leicestershire
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Sanofi
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Summary
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 was to 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 and will be treated 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 with either dupilumab or matching placebo in addition to their non-sedative antihistamine and emollient regimen. The treatment period for both study A and B will be followed by a 12-week follow-up period.
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Trial website
https://clinicaltrials.gov/study/NCT05263206
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Contacts
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Trial Transparency email recommended (Toll free number for US & Canada)
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800-633-1610
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
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
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05263206
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