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NCT06191315PHASE3Recruiting

Efficacy and Safety of Subcutaneous Dupilumab in Participants With Asthma/Asthmatic Wheeze Aged 2 to <6 Years (LIBERTY ASTHMA TREKIDS)

Sanofi

Start Date

1/3/2024

Completion Date

12/21/2028

Summary

This is a parallel, Phase 3, 2-arm study to evaluate the efficacy and long-term safety of dupilumab treatment in children 2 to \<6 years of age with uncontrolled asthma and/or recurrent severe asthmatic wheeze. The study will be conducted in 2 parts. Part A will be a 52-week, randomized, double-blind, placebo-controlled study to assess the safety and efficacy of dupilumab in children aged 2 to \<6 years old with uncontrolled asthma and/or recurrent severe asthmatic wheeze. At the end of Part A, all eligible participants will be offered participation in Part B, an optional open-label extension phase. Study details include: Part A: The study duration of part A will be up to 68 weeks consisting of a 4-week Screening, a 52week treatment period, and a 12-week post-treatment follow-up period. For participants who will chose to participate in Part B, the study duration will be up to 120 weeks (additional 52-week treatment period). Part B: For participants who will choose to participate in Part B, the study duration will be up to 120 weeks (Part A \[4-week Screening and a 52-week treatment period\] plus additional 52-week treatment period and a 12-week post-treatment follow-up period).

Detailed Description

The duration per participant is up to 120 Weeks.

Eligibility Criteria

Age Range: 2 years to 5 years

Inclusion Criteria: * Participant must be 2 to \<6 years of age * Diagnosis of asthma or recurrent severe asthmatic wheeze that is not controlled with chronic ICS for at least 3 months with stable use of at least low dose ICS for ≥1 month prior to Screening Visit 1 with evidence of uncontrolled asthma and/or recurrent severe asthmatic wheeze. * At least one additional major criterion from the modified asthma predictive index: 1. Physician diagnosed Atopic Dermatitis, 2. Allergic sensitization to at least 1 aeroallergen (with a positive serum IgE defined as a value ≥0.35 kU/L). OR 2 minor criteria: 3. Wheezing unrelated to colds, 4. Peripheral blood eosinophilia ≥4%, 5. Allergic sensitization to milk, eggs, or peanuts (defined by serum specific IgE \>0.35 kU/L. * Parent(s)/caregiver(s)/legal guardian(s) willing and able to comply with clinic visits and study-related procedures. * Parent(s)/caregiver(s)/legal guardian(s) able to understand the study requirements. * Participants/parent(s)/caregiver(s)/legal guardian(s), as appropriate, must be able to understand and complete study-related questionnaires * Body weight at screening and randomization \>5 kg and \<30 kg. * Parents or caregivers or legal guardian capable of giving signed informed consent. Exclusion Criteria: Participants are excluded from the study if any of the following criteria apply: * Severe asthma with the need for chronic oral/systemic corticosteroid use (\>1 month continuous) at the time of screening enrollment. * History of a systemic hypersensitivity reaction or anaphylaxis to biologic therapy, including any excipient. * History of prematurity (\<34 weeks gestation). * Any other chronic lung disease that would impair lung function (eg, cystic fibrosis, bronchopulmonary dysplasia) or chronic lung disease of prematurity or need for oxygen for more than 5 days in the neonatal period. * History of life-threatening asthma (eg, requiring intubation). The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Interventions

DRUG

Dupilumab

DRUG

Placebo

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Conditions

WheezingAsthma

Locations

Phoenix Children's Hospital- Site Number : 8400001

Phoenix, Arizona 85016

United States

Allervie Clinical Research - Destin- Site Number : 8400016

Destin, Florida 32541

United States

EMDA Clinical Research- Site Number : 8400026

Miami, Florida 33126

United States

Ann & Robert H. Lurie Children's Hospital of Chicago- Site Number : 8400011

Chicago, Illinois 60611

United States

Allergy and Asthma Specialist- Site Number : 8400002

Owensboro, Kentucky 42301

United States

Mayo Clinic in Rochester - Minnesota- Site Number : 8400008

Rochester, Minnesota 55905

United States

UBMD Pediatrics- Site Number : 8400013

Buffalo, New York 14203

United States

Boston Children's Health Physicians - Hawthorne- Site Number : 8400010

Hawthorne, New York 10532

United States

UNC Children's Hospital- Site Number : 8400005

Chapel Hill, North Carolina 27514

United States

Cincinnati Children's Hospital Medical Center- Site Number : 8400004

Cincinnati, Ohio 45229

United States

University Hospitals Cleveland Medical Center- Site Number : 8400015

Cleveland, Ohio 44106

United States

Vanderbilt University Medical Center- Site Number : 8400024

Nashville, Tennessee 37232

United States

South Texas Medical Research Institute - TTS Research- Site Number : 8400022

Boerne, Texas 78006

United States

Texas Children's Hospital- Site Number : 8400027

Houston, Texas 77030

United States

Investigational Site Number : 0320005

Rosario, Santa Fe Province 2000

Argentina

Investigational Site Number : 0320008

Buenos Aires, 1028

Argentina

Investigational Site Number : 0320003

Buenos Aires, 1121

Argentina

Investigational Site Number : 0320002

Buenos Aires, 1122

Argentina

Investigational Site Number : 0320001

Buenos Aires, 1414

Argentina

Investigational Site Number : 0320009

Corrientes, 3400

Argentina

Investigational Site Number : 0320006

Córdoba, 5003

Argentina

Investigational Site Number : 0320004

Mendoza, 5500

Argentina

Hospital Ernesto Dornelles- Site Number : 0760004

Porto Alegre, Rio Grande do Sul 90160-093

Brazil

Clinica de Alergia Martti Antila- Site Number : 0760002

Sorocaba, São Paulo 18040-425

Brazil

Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo- Site Number : 0760001

São Paulo, 05403-000

Brazil

Investigational Site Number : 1240002

Edmonton, Alberta T6G 2B7

Canada

Investigational Site Number : 1240001

Vancouver, British Columbia V6H 3N1

Canada

Investigational Site Number : 1240008

Burlington, Ontario L7L 6W6

Canada

Investigational Site Number : 1240007

Hamilton, Ontario L8S 1G5

Canada

Investigational Site Number : 1240006

Montreal, Quebec H3T 1C5

Canada

Investigational Site Number : 1240005

Sherbrooke, Quebec J1H 5N4

Canada

Investigational Site Number : 2030001

Prague, 190 00

Czechia

Investigational Site Number : 2500005

Créteil, 94010

France

Investigational Site Number : 2500001

Lille, 59000

France

Investigational Site Number : 2500004

Nice, 06200

France

Investigational Site Number : 2500002

Paris, 75019

France

Investigational Site Number : 2500003

Paris, 75571

France

Investigational Site Number : 2760002

Düsseldorf, 40217

Germany

Investigational Site Number : 2760004

Frankfurt, 60590

Germany

Investigational Site Number : 2760001

Leipzig, 04103

Germany

Investigational Site Number : 3000001

Athens, 115 27

Greece

Investigational Site Number : 3000003

Athens, 152 36

Greece

Investigational Site Number : 3480005

Budapest, 1085

Hungary

Investigational Site Number : 3480004

Debrecen, 4032

Hungary

Investigational Site Number : 3480002

Székesfehérvár, 8000

Hungary

Investigational Site Number : 3480001

Szigetvár, 7900

Hungary

Buzzi Children's Hospital - Investigational Site Number : 3800003

Milan, Lombardy 20154

Italy

Investigational Site Number : 3800005

Padua, Padova 35128

Italy

Ospedale Pediatrico Bambino Gesù - Investigational Site Number : 3800002

Rome, Roma 00165

Italy

AOU Luigi Vanvitelli - Investigational Site Number : 3800004

Naples, 80131

Italy

Fondazione IRCCS Policlinico San Matteo - Investigational Site Number : 3800001

Pavia, 27100

Italy

Investigational Site Number : 3920006

Isehara, Kanagawa 259-1193

Japan

Investigational Site Number : 3920004

Tsu, Mie-ken 514-0125

Japan

Investigational Site Number : 3920003

Ureshino, Saga-ken 843-0393

Japan

Investigational Site Number : 3920002

Fukuoka, 811-1394

Japan

Investigational Site Number : 3920001

Fukuoka, 813-0017

Japan

Investigational Site Number : 4840001

San Juan del Río, Querétaro 76800

Mexico

Investigational Site Number : 4840004

Durango, 34000

Mexico

Investigational Site Number : 4840002

Veracruz, 91900

Mexico

Investigational Site Number : 5280001

Rotterdam, 3015 CE

Netherlands

Investigational Site Number : 6160004

Tarnów, Lesser Poland Voivodeship 33-100

Poland

Investigational Site Number : 6160001

Lodz, Lódzkie 93-509

Poland

Investigational Site Number : 6160003

Warsaw, Masovian Voivodeship 02-091

Poland

Investigational Site Number : 7240003

Santiago de Compostela, A Coruña [La Coruña] 15706

Spain

Investigational Site Number : 7240001

Barcelona, Barcelona [Barcelona] 08035

Spain

Investigational Site Number : 7240007

Esplugues de Llobregat, Barcelona [Barcelona] 08950

Spain

Investigational Site Number : 7240002

Sabadell, Barcelona [Barcelona] 08208

Spain

Investigational Site Number : 7240006

Jerez de la Frontera, Cádiz 11407

Spain

Investigational Site Number : 7240005

Madrid, 28009

Spain

Investigational Site Number : 7240004

Valencia, 46026

Spain

Investigational Site Number : 8260003

Birmingham, England B4 6NH

United Kingdom

Investigational Site Number : 8260002

Leicester, Leicestershire LE1 5WW

United Kingdom

Investigational Site Number : 8260001

London, London, City of SE5 9RL

United Kingdom

Investigational Site Number : 8260004

Bradford, BD9 6RJ

United Kingdom