Efficacy of Dupilumab Added to Medium Dose Inhaled Corticosteroid/Long-acting Beta-agonist (ICS/LABA) in Comparison to ICS Dose Escalation to High Dose ICS/LABA in Adolescent and Adult Patients With Uncontrolled Asthma

Last updated: April 8, 2025
Sponsor: Regeneron Pharmaceuticals
Overall Status: Active - Recruiting

Phase

4

Condition

Asthma

Treatment

Matching Placebo

ICS/LABA

dupilumab

Clinical Study ID

NCT06572228
R668-AS-2373
2023-510458-18-00
  • Ages 12-80
  • All Genders

Study Summary

This study is researching a drug called dupilumab. The study is focused on patients who have uncontrolled asthma. Asthma is a condition where the airways narrow and swell, making it difficult to breathe. Uncontrolled asthma means that patients are still having frequent symptoms while taking their current asthma medication.

The aim of the study is to see which regimen is more effective: taking dupilumab with an inhaled asthma medication or only taking a higher dose of the inhaled asthma medication. The type of asthma medication that will be used is a combination inhaled corticosteroid and long-acting beta-agonist (referred to as an ICS/LABA). Some patients may also receive an additional asthma medication called a long-acting muscarinic antagonist (referred to as a LAMA) if they are already receiving a LAMA.

The study is also looking at:

• What side effects may happen from taking dupilumab

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  1. Diagnosis of asthma for ≥12 months, based on the Global Initiative for Asthma (GINA) 2023 guidance document

  2. Existing treatment with medium dose ICS/LABA (>250 to 500 μg/day of fluticasonepropionate DPI or equivalent, per GINA 2023 guidance document) for at least 3 monthswith a stable dose ≥1 month prior to visit 1

  3. Participants requiring a maximum of 3 controllers for their asthma will beconsidered eligible for this study

  4. Pre-bronchodilator FEV1, as defined in the protocol

  5. Reversibility of at least 12% and 200 mL in FEV1 after the administration of 200 to 400 μg albuterol/salbutamol at screening OR a documented history of ≥20% reductionin the FEV1, as defined in the protocol

  6. Demonstrated adherence to medium dose ICS/LABA on at least 80% of days during therun-in period

  7. ACQ-5 score ≥1.5 at screening (visit 1)

  8. History of ≥1 severe exacerbation(s) in the previous year before visit 1, but not inthe 30 days immediately preceding visit 1

  9. Biomarker criteria: Baseline blood eosinophil count ≥300 cells/μL at visit 1 (~90%of population), as defined in the protocol

Exclusion

Key Exclusion Criteria:

  1. Diagnosis of chronic obstructive pulmonary disease (COPD) or other lung diseaseswhich may impair lung function and interfere with treatment assessments

  2. Clinical evidence of lung disease(s) other than asthma or imaging (Chest X-ray,computed tomography (CT), magnetic resonance imaging [MRI]) with significantfindings within 12 months of visit 1 and up to and including the baseline visit (visit 3)

  3. A participant who experiences a severe asthma exacerbation at any time from 1 monthprior to the screening visit (visit 1) up to and including the baseline visit (visit 3), as defined in the protocol

  4. Weight is less than 30 kilograms

  5. Current smoker or cessation of smoking within 6 months prior to visit 1 or previoussmoker with a smoking history ≥10 pack-years

  6. Severe concomitant illness(es) that, in the Investigator's judgment, would adverselyaffect the participant's participation in the study, as defined in the protocol

  7. Participants cannot be on systemic corticosteroids at any time from 1 month prior tothe screening visit (visit 1) through the duration of the run-in period

NOTE: Other protocol-defined Inclusion/Exclusion criteria apply

Study Design

Total Participants: 250
Treatment Group(s): 3
Primary Treatment: Matching Placebo
Phase: 4
Study Start date:
August 26, 2024
Estimated Completion Date:
December 31, 2026

Study Description

This study is a Phase 3b in Canada Minors will not be enrolled in Denmark

Connect with a study center

  • The Lung Centre at Vancouver General Hospital

    Vancouver, British Columbia V5Z 1M9
    Canada

    Active - Recruiting

  • Dynamic Drug Advancement Ltd.

    Ajax, Ontario L1S 2J5
    Canada

    Active - Recruiting

  • Evidence Based Medical Educator Inc.

    Toronto, Ontario M5G1E2
    Canada

    Active - Recruiting

  • Inspiration Research Limited

    Toronto, Ontario M5T 3A9
    Canada

    Active - Recruiting

  • Dr. Syed Anees Medicine Professional Corporation

    Windsor, Ontario N8X 1T3
    Canada

    Active - Recruiting

  • Clinique de Specialisee en Allergie de la Capitale

    Quebec, G1V 4W2
    Canada

    Active - Recruiting

  • Vejle Sygehus

    Vejle, South Denmark 7100
    Denmark

    Active - Recruiting

  • Copenhagen University Hospital - Hvidovre

    Hvidovre, 2650
    Denmark

    Active - Recruiting

  • Lmu University Hospital

    Munich, Bavaria 81377
    Germany

    Active - Recruiting

  • Praxis fur Pneumologie am Duako

    Augsburg, Bayern 86150
    Germany

    Active - Recruiting

  • IKF Pneumologie Frankfurt GmbH & Co KG

    Frankfurt, Hessen 60596
    Germany

    Active - Recruiting

  • KPPK Studienzentrum

    Koblenz, Rheinland-Pfalz 56068
    Germany

    Active - Recruiting

  • Velocity Clinical Research Lubeck GmbH (Formerly KLB Gesundheitsforschung Lübeck GmbH)

    Lubeck, Schleswig-Holstein 23552
    Germany

    Active - Recruiting

  • Lungenpraxis Hohenzollerndamm RCMS

    Berlin, 10717
    Germany

    Active - Recruiting

  • POIS Sachsen GmbH iG

    Leipzig, 04347
    Germany

    Active - Recruiting

  • IKF Pneumologie GmbH & Co. KG

    Mainz, 55128
    Germany

    Active - Recruiting

  • Michał Bogacki - DOBROSTAN

    Wroclaw, Dolnoslaskie 53301
    Poland

    Active - Recruiting

  • Diamond Clinic sp zoo

    Krakow, Malopolska 31-559
    Poland

    Active - Recruiting

  • Centrum Medyczne All-Med

    Krakow, Malopolskie 30-033
    Poland

    Active - Recruiting

  • Centrum Medyczne All-Med

    Kraków, Malopolskie 30-033
    Poland

    Active - Recruiting

  • Centrum Medycyny Oddechowej Mroz SJ

    Białystok, Podlaskie 15-044
    Poland

    Active - Recruiting

  • Department of Allergology

    Gdansk, Pomerania 80214
    Poland

    Active - Recruiting

  • Uniwersyteckie Centrum Kliniczne, Budynek Centrum Medycyny Nieinwazyjnej

    Gdansk, Pomerania 80-214
    Poland

    Active - Recruiting

  • Allergy Clinic NZOZ Homeo Medicus

    Bialystok, 15-687
    Poland

    Active - Recruiting

  • ALL-MED Specjalistyczna Opieka Medyczna Medyczny Instytut Badawczy

    Wroclaw, PL-53-201
    Poland

    Active - Recruiting

  • Lekarze Specjaliści Małolepszy i Partnerzy

    Wroclaw, 54239
    Poland

    Active - Recruiting

  • Allianze pulmonary Research

    Guaynabo, 00968
    Puerto Rico

    Active - Recruiting

  • Fundacion de Investigacion (FDI) Clinical Research

    San Juan, 00927
    Puerto Rico

    Active - Recruiting

  • PRCCI Clinical Research Center

    San Juan, 00927
    Puerto Rico

    Active - Recruiting

  • Kern Research, Inc

    Bakersfield, California 93301
    United States

    Active - Recruiting

  • Modena Allergy & Asthma, Inc.

    La Jolla, California 92037
    United States

    Active - Recruiting

  • Antelope Valley Clinical Trials

    Lancaster, California 93534
    United States

    Active - Recruiting

  • Ark Clinical Research - Long Beach

    Long Beach, California 90815
    United States

    Active - Recruiting

  • Newport Native Md, Inc.

    Newport Beach, California 92663
    United States

    Active - Recruiting

  • Riviera Allergy Medical Center

    Redondo Beach, California 90277
    United States

    Active - Recruiting

  • Raffi Tachdjian MD inc

    Santa Monica, California 90404
    United States

    Active - Recruiting

  • Bensch Clinical Research

    Stockton, California 95207
    United States

    Active - Recruiting

  • Integrated Research of Inland, Inc.

    Upland, California 91786
    United States

    Active - Recruiting

  • Allianz Research Institute

    Westminster, California 92683
    United States

    Active - Recruiting

  • St Francis Medical Institute

    Clearwater, Florida 33765
    United States

    Active - Recruiting

  • Florida Lung, Asthma and Sleep Specialists (FLASS) - Celebration

    Kissimmee, Florida 34746
    United States

    Active - Recruiting

  • Clinical Site Partners, LLC DBA Flourish Research

    Winter Park, Florida 32789
    United States

    Active - Recruiting

  • Treasure Valley Medical Research

    Boise, Idaho 83706
    United States

    Active - Recruiting

  • Northwestern University

    Chicago, Illinois 60611
    United States

    Active - Recruiting

  • Sneeze Wheeze & Itch Associates

    Normal, Illinois 61761
    United States

    Active - Recruiting

  • Sneeze Wheeze and Itch Associates

    Normal, Illinois 61761
    United States

    Active - Recruiting

  • Asthma and Allergy Center of Chicago

    River Forest, Illinois 60305
    United States

    Active - Recruiting

  • NorthShore University Health System

    Skokie, Illinois 60077
    United States

    Active - Recruiting

  • University of Kansas Medical Center

    Kansas City, Kansas 66160
    United States

    Active - Recruiting

  • Bluegrass Allergy Research

    Lexington, Kentucky 40509
    United States

    Active - Recruiting

  • Family Allergy and Asthma Research Institute

    Louisville, Kentucky 40217
    United States

    Active - Recruiting

  • Allergy & Asthma Specialists, P.S.C.

    Owensboro, Kentucky 42301
    United States

    Active - Recruiting

  • Paul A. Shapero, M.D.

    Bangor, Maine 04401
    United States

    Active - Recruiting

  • Michigan Medicine

    Ann Arbor, Michigan 48109
    United States

    Active - Recruiting

  • Henry Ford Health System

    Detroit, Michigan 48202
    United States

    Active - Recruiting

  • Allergy and Asthma Center of Minnesota

    Maplewood, Minnesota 55109
    United States

    Active - Recruiting

  • Clinical Research Institute, Inc.

    Minneapolis, Minnesota 55402
    United States

    Active - Recruiting

  • Washington University School of Medicine

    Saint Louis, Missouri 63119
    United States

    Active - Recruiting

  • Montana Medical Research

    Missoula, Montana 59808
    United States

    Active - Recruiting

  • The Asthma and Allergy Center

    Bellevue, Nebraska 68123
    United States

    Active - Recruiting

  • Henderson Clinical Trials

    Henderson, Nevada 89052
    United States

    Active - Recruiting

  • Certified Research Associates

    Cortland, New York 13045
    United States

    Active - Recruiting

  • New York Medical College

    Hawthorne, New York 10592
    United States

    Active - Recruiting

  • Rochester Regional Health - Alexander Park - Allergy, Immunology & Rheumatology

    Rochester, New York 14607
    United States

    Active - Recruiting

  • Cincinnati Childrens Hospital and Medical Center

    Cincinnati, Ohio 45229
    United States

    Active - Recruiting

  • Allergy, Asthma and Clinical Research Center

    Oklahoma City, Oklahoma 73120
    United States

    Active - Recruiting

  • Clinical Research Associates of Central PA

    DuBois, Pennsylvania 15801
    United States

    Active - Recruiting

  • Pulmonology Associates Inc.

    Wynnewood, Pennsylvania 19096
    United States

    Active - Recruiting

  • Dharma MD PA doing business as Southwest Family Medicine Associates

    Dallas, Texas 75235
    United States

    Active - Recruiting

  • Dharma Pennsylvania doing business as Southwest Family Medicine Associates

    Dallas, Texas 75235
    United States

    Active - Recruiting

  • Premier Pulmonary Critical Care and Sleep Medicine

    Denison, Texas 75020
    United States

    Active - Recruiting

  • Western Sky Medical Research

    El Paso, Texas 79912
    United States

    Active - Recruiting

  • Baylor College of Medicine - Section of Pulmonary and Critical Care

    Houston, Texas 77030
    United States

    Active - Recruiting

  • Texas Children's Hospital

    Houston, Texas 77030
    United States

    Active - Recruiting

  • Metroplex Pulmonary and Sleep Center, PA

    McKinney, Texas 75069
    United States

    Active - Recruiting

  • Lung Sleep Research Institute

    North Richland Hills, Texas 76180
    United States

    Active - Recruiting

  • South Texas Allegry & Asthma Medical Professionals (STAAMP) Research

    San Antonio, Texas 78229
    United States

    Active - Recruiting

  • Allergy & Asthma Care of Waco

    Waco, Texas 76712
    United States

    Active - Recruiting

  • Vancouver Clinic

    Vancouver, Washington 98664
    United States

    Active - Recruiting

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