RecruitingPhase 4NCT06116526

Dupilumab De-escalation in Pediatric Atopic Dermatitis

Dupilumab De-escalation in Pediatric Atopic Dermatitis: A Pilot Trial


Sponsor

Johns Hopkins University

Enrollment

30 participants

Start Date

Apr 1, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

This is a pilot investigator-blinded, randomized clinical trial to assess the feasibility of dupilumab treatment discontinuation or dose-reduction in children aged 1-17 years who have achieved sustained atopic dermatitis (AD) control on dupilumab.


Eligibility

Min Age: 1 YearMax Age: 17 Years

Inclusion Criteria7

  • Aged 1 to <18 years old, either sex, any race or ethnicity
  • Provide signed informed consent by parent or legal guardian and informed assent if applicable
  • Has a physician confirmed diagnosis of atopic dermatitis
  • Has received dupilumab for at least 12 months for the treatment of atopic dermatitis
  • Has had well-controlled atopic dermatitis on dupilumab within last 6 months (defined as POEM<=7, EASI<=7, or IGA<=2)
  • Able to speak English
  • Able and willing to adhere to all study procedures

Exclusion Criteria7

  • Taking concurrent systemic medication for atopic dermatitis (e.g., methotrexate, cyclosporine, tralokinumab, abrocitinib, upadacitinib, systemic corticosteroids)
  • Using concurrent phototherapy for atopic dermatitis
  • Taking dupilumab for a clinical indication other than atopic dermatitis (such as asthma or eosinophilic esophagitis)
  • Poor control of atopic dermatitis
  • Poor control of asthma or eosinophilic esophagitis
  • Has used an investigational drug within 90 days or plan to use an investigational drug during the study period
  • Does not have health insurance or will lose health insurance during the study period

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Interventions

DRUGDupilumab - Discontinuation

Drug injections are discontinued.

DRUGDupilumab - Dose Reduction

The drug is given as a subcutaneous injection.

DRUGDupilumab - Standard Dose

The drug is given as a subcutaneous injection.


Locations(1)

Johns Hopkins Univerisity

Baltimore, Maryland, United States

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NCT06116526


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