ClinicalTrials.gg
CompletedNCT03359356Updated Sep 13, 2022Results posted

Treatment of Alopecia Areata (AA) With Dupilumab in Patients With and Without Atopic Dermatitis (AD)

A Phase 2 interventional study of Dupilumab and Placebo in Alopecia Areata, sponsored by Icahn School of Medicine at Mount Sinai. Completed at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-09-13.

Sponsored by Icahn School of Medicine at Mount Sinai · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 98 studies in Alopecia Areata with a site in United States — 21 open to participants now, 32 under way, 8 of them phase 3. Alopecia Areata · United States.

Enrollment
35th of 84
60 · median 46
Started
2018
with 5 others
Phase 2
42 of 98
8 open now
Registered
35th of 98
by date
Lead sponsor
6 of 98
Icahn School of Medicine at Mount Sinai

Among the 98 studies in Alopecia Areata with a site in United States, this one is the 35th largest by enrollment of the 84 interventional ones, is one of 6 that started in 2018, is one of 42 in phase 2, and was the 35th registered.

By phase

98 studies; the count open now beside each. This study's row is marked.

Phase 2this study42 · 8 open
Observational14 · 5 open
Phase 312 · 6 open
No phase10 · 1 open
Phase 48 · 0 open
Phase 16 · 1 open
Phase 2/34 · 0 open
Phase 1/22 · 0 open

By the year they started

First in 1997; this study’s year is marked. 6 started in 2018.

Size and results

Median enrollment 46 across the 84 interventional studies, 2,300 across the 14 observational. Of the 60 that completed or were terminated, 42 (70%) have results posted.

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02

Study summary

Alopecia areata is a medical condition, in which the hair falls out in patches. The hair can fall out on the scalp or elsewhere on the face and body. Alopecia areata is an autoimmune skin disease, which means that the immune system is recognizing the hair follicles as foreign and attacking them, causing round patches of hair loss. It can progress to total scalp hair loss (alopecia totalis) or complete body hair loss (alopecia universalis). The scalp is the most commonly affected area, but the beard or any hair-bearing site can be affected alone or together with the scalp. Alopecia areata occurs in males and females of all ages, and is a highly unpredictable condition that tends to recur. Alopecia areata can cause significant distress to both patients and their families. In this study, the aim is to assess the effects of dupilumab in patients with alopecia areata.

Read the detailed description

The purpose of this study is to assess whether dupilumab can be a helpful treatment for alopecia areata.

This is a randomized, double-blind, placebo-controlled pilot study of a total of 54 subjects with moderate to severe alopecia areata involving 30-100% of the scalp. The researchers expect one third of these subjects to have concomitant alopecia areata (AA) and atopic dermatitis (AD).

The researchers' experience in AD, and past experience in psoriasis showed that biomarker studies in skin tissues are critical to the understanding of key pathogenic pathways that are upregulated in each disease and how well they are suppressed with effective treatment. These mechanistic studies coupled with clinical trials are key in the disease to shed light on important disease mechanisms, and to explain which molecules are suppressed by each therapeutic target. Data shows that IL-13 is significantly upregulated in both AD and AA lesions compared to nonlesional skin. It is very important to associate the clinical responses with suppression of this cytokine and related molecules as well as other pathway cytokines in skin tissues. Both the whole genomic profiling and individual molecular and cellular markers are very important in order to understand how well anti-IL-13 will change/suppress AA-associated pathways and compare with those that will be suppressed in AD.

Since this study is designed to gain basic knowledge rather than to yield information directly related to patient care, the results are not entered in the participants' medical records. If, at a later date, correlations of in-vitro tests and the patients' clinical situation suggest that the results do bear on the patients' health, an amended protocol will be submitted to the IRB so that results can be made available to the medical record.

03

Conditions studied

  • Alopecia Areata

Keywords

  • alopecia
  • alopecia areata
  • alopecia universalis
  • alopecia totalis
  • dupixent
  • dupilumab
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female subjects who are at least 18 years old at the time of .
  • Subject is able to understand and voluntarily sign an informed consent document prior to participation
  • Subject is able to adhere to the study visit schedule and other protocol requirements.
  • Females of (FCBP) must have a negative pregnancy test at Screening and Baseline. While on product and for at least 28 days after taking the last dose of investigational product (IP), FCBP who engage in activity in which conception is possible must use one of the approved options described below:

    1. Option 1: Any one of the following highly effective methods: hormonal contraception (oral, injection, implant, transdermal patch, vaginal ring); intrauterine device (IUD); tubal ligation; or partner's vasectomy; OR
    2. Option 2: Male or female condom (latex condom or non-latex condom NOT made out of natural [animal] membrane [for example, polyurethane]); PLUS one additional barrier method: (a) diaphragm with spermicide; (b) cervical cap with spermicide; or (c) contraceptive sponge with spermicide.
  • If subject is a female of non-childbearing potential, she must have documented history of infertility, be in a menopausal state for one year, or had a hysterectomy, bilateral tubal ligation, or bilateral oophorectomy.
  • Subject has a history of at least 6 months of moderate to severe AA (≥ 30% scalp involvement) as measured using the SALT score; OR subject has ≥ 95% loss of scalp hair for enrollment as AA totalis (AT) or universalis (AU) subtypes.

    1. AT and AU will be limited to 50% of the total number of subjects enrolled.
    2. One-third of subjects must have active AD skin or a concomitant history of AD at the time of the Screening and Baseline visits.
  • Subject has a negative Tuberculin purified protein derivative (PPD) or QuantiFERON TB-Gold test (QFT) prior to baseline. Subjects with a positive or indeterminable PPD or QFT result must have a documented negative workup for tuberculosis and/or completed standard tuberculosis therapy.
  • Subjects must meet the following laboratory criteria:

    1. White blood cell count ≥ 3000/mm3 (≥ 3.0 x 109/L) and \< 14,000/mm3 (≤ 14 x 109/L).
    2. count ≥ 100,000/μL (≥ 100 x 109/L).
    3. Serum creatinine ≤ 1.5 mg/dL (≤ 132.6 μmol/L).
    4. (SGOT) and ALT (SGPT) ≤ 2 x (ULN). If the initial test shows ALT or AST > 2 times the ULN, one repeat test is allowed during the Screening Phase.
    5. Total ≤ 2 mg/dL (34 μmol/L). If the initial test shows total bilirubin > 2 mg/dL (34 μmol/L), one repeat test is allowed during the Screening Phase.
    6. ≥ 10 g/dL (≥ 6.2 mmol/L).
  • Subject is judged to be in otherwise good overall health following a detailed medical and medication history, physical examination, and laboratory testing.

Exclusion criteria

Exclusion Criteria:

  • Subject is pregnant or breastfeeding.
  • Subject's cause of hair loss is indeterminable and/or they have concomitant causes of alopecia, such traction, cicatricial, pregnancy-related, drug-induced, telogen effluvium, or advanced androgenetic alopecia (i.e. Ludwig Type III or Norwood-Hamilton Stage ≥ V).
  • Subject has a history of AA with no evidence of hair regrowth for ≥ 10 years since their last episode of hair loss.
  • Subject has an active bacterial, viral, or helminth parasitic infections; OR a history of ongoing, recurrent severe infections requiring systemic antibiotics
  • Subject with a known or suspected underlying immunodeficiency or immune-compromised state as determined by the investigator.
  • Subject has a concurrent or recent history of severe, progressive, or uncontrolled renal, hepatic, hematological, intestinal, metabolic, endocrine, pulmonary, cardiovascular, or neurological disease.
  • Active , , (HIV), or positive HIV serology at the time of screening for subjects determined by the investigators to be at high-risk for this disease.
  • Subject has a suspected or active lymphoproliferative disorder or ; OR a history of malignancy within 5 years before the Baseline assessment, except for completely treated in situ non-melanoma skin and cervical cancers without evidence of .
  • Subject has received a ≤ 30 days prior to study randomization.
  • Subject has any uncertain or laboratory abnormalities that may affect interpretation of study data or endpoints.
  • Subject has any other medical or psychological condition that, in the opinion of the investigator, may present additional unreasonable risks as a result of their participation in the study and/or interfere with clinic visits and necessary study assessments.
  • History of adverse systemic or allergic reactions to any component of the study drug.
  • Severe, untreated asthma or a history of life-threatening asthma exacerbations while on appropriate anti-asthmatic mediations.
  • Use of systemic medications, including, but not limited to, cyclosporine, systemic or intralesional , mycophenolate mofetil, azathioprine, methotrexate, tacrolimus, or ultraviolet (UV) phototherapy with/without Psoralen Ultraviolet A (PUVA) therapy within 4 weeks prior to randomization.
  • Use of an oral JAK inhibitor (tofacitinib, ruxolitinib) within 12 weeks prior to the Baseline visit.
  • Subject has used topical corticosteroids, and/or tacrolimus, and/or pimecrolimus within 1 week before the Baseline visit.
  • Subject has been previously treated with dupilumab.
  • Subject currently uses or plans to use anti-retroviral therapy at any time during the study.
Terms in these criteria, in plain language(18)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    Dupilumab

    An initial dupilumab dose of 600 mg (two 300 mg subcutaneous injections), followed by dupilumab 300 mg given every week

    Drug: Dupilumab

  • Placebo comparator
    Placebo

    Matching placebo in prefilled syringes identical to the dupilumab syringes

    Drug: Placebo

Interventions

  • A total of 24 doses

    Also known as: Dupixent

  • DrugPlacebo

    A total of 24 doses

    Also known as: matching placebo

06

What researchers measure

Primary outcomes

  1. Change From Baseline in the Severity of Alopecia Tool (SALT) Score at Week 24

    The SALT is a validated instrument for measuring the amount of scalp hair loss at a single point in time The SALT is a validated instrument for measuring the amount of scalp hair loss at a single point in time SALT - Scalp divided into four areas: vertex (40% of scalp surface area), right profile (18% of scalp surface area), left profile (18% of scalp surface area), and posterior scalp (24% of scalp surface area). Percentage of hair loss in these areas is multiplied by percent surface area of the scalp in that area. SALT score is the sum of percentage of hair loss in all areas. SALT scores range from 0 (no hair loss) to 100 (complete scalp hair loss) with lower score indicating better health outcomes/less hair loss. Primary Outcome is baseline minus Week 24 value.

    Time frame: Baseline and 24 weeks

Secondary outcomes

  1. Change From Week 24 in the SALT Score at Week 48

    SALT - Scalp divided into four areas: vertex (40% of scalp surface area), right profile (18% of scalp surface area), left profile (18% of scalp surface area), and posterior scalp (24% of scalp surface area). Percentage of hair loss in these areas is multiplied by percent surface area of the scalp in that area. SALT score is the sum of percentage of hair loss in all areas. Week 24 minus week 48 value.

    Time frame: Week 24 and 48 weeks

  2. Change From Baseline in the SALT Score at Week 48

    Change in SALT score at Week 48 compared to Baseline. SALT - Scalp divided into four areas: vertex (40% of scalp surface area), right profile (18% of scalp surface area), left profile (18% of scalp surface area), and posterior scalp (24% of scalp surface area). Percentage of hair loss in these areas is multiplied by percent surface area of the scalp in that area. SALT score is the sum of percentage of hair loss in all areas. SALT scores range from 0 (no hair loss) to 100 (complete scalp hair loss) with lower score indicating better health outcomes/less hair loss. Baseline minus week 48 value.

    Time frame: Baseline and 48 weeks

  3. Number of Patients Achieving at Least 50% Improvement in Severity of Alopecia Tool (SALT) Score (SALT-50) at Weeks 24 and 48 Compared to Baseline

    Number of subjects achieving SALT-50 score at Weeks 24 and 48 compared to Baseline. SALT - Scalp divided into four areas: vertex (40% of scalp surface area), right profile (18% of scalp surface area), left profile (18% of scalp surface area), and posterior scalp (24% of scalp surface area). Percentage of hair loss in these areas is multiplied by percent surface area of the scalp in that area. SALT score is the sum of percentage of hair loss SALT scores range from 0 (no hair loss) to 100 (complete scalp hair loss) with lower score indicating better health outcomes/less hair loss.in all areas.

    Time frame: weeks 24 and 48

  4. Number of Patients Achieving at Least 75% Improvement in SALT-75 at Weeks 24 and 48

    Number of patients with Severity of Alopecia Tool (SALT) Score (SALT-75) (\> or equal to 75% improvement in SALT score) at Weeks 24 compared to Baseline. SALT - Scalp divided into four areas: vertex (40% of scalp surface area), right profile (18% of scalp surface area), left profile (18% of scalp surface area), and posterior scalp (24% of scalp surface area). Percentage of hair loss in these areas is multiplied by percent surface area of the scalp in that area. SALT score is the sum of percentage of hair loss in all areas. SALT scores range from 0 (no hair loss) to 100 (complete scalp hair loss) with lower score indicating better health outcomes/less hair loss.

    Time frame: Weeks 24 and 48

  5. Number of Patients Achieving at Least 90% Improvement in Severity of Alopecia Tool (SALT) Score (SALT-90) at Weeks 24 and 48

    The number of patients achieving at least 90% improvement in Severity of Alopecia Tool (SALT) score (SALT-90) at Weeks 24, 48 compared to Baseline

    Time frame: Weeks 24 and 48

  6. Change in Alopecia Areata Symptom Impact Scale (AASIS)

    Change in AASIS at Weeks 24 and 48 compared to Baseline. AASIS is a 13-item instrument, each item scored from 0 to 10 where higher scores correspond to worse symptom impact, full range from 0 to 130.

    Time frame: Weeks 24 and 48

  7. Change in Alopecia Areata Quality of Life Questionnaire

    Change in the Alopecia Areata Quality of Life questionnaire (AA-QoL) at Weeks 24 and 48 compared to baseline. AAQoL is a 21-item instrument scored from 0 (poor) to 100 (good).

    Time frame: Weeks 24 and 48

  8. Eyelash/Eyebrow Assessment Score Weeks 12, 24, 36, and 48 Compared to Baseline

    Change in eyelash and eyebrow scores at Weeks 12, 24, 36, and 48 compared to baseline. The Eyelash/Eyebrow Assessment score based on a 5-point scale, ranging from 0 (none) to 4 (very prominent eyelashes/eyebrows).

    Time frame: Weeks 12, 24, 36, and 48

  9. Change in EASI Scores From Baseline at Week 24 and 48

    Change from baseline in Eczema Area and Severity Index (EASI) at Weeks 24 and 48. EASI scores range from 0 (no symptoms) to 72 (severe eczema) with lower score indicating better health outcomes/less eczema.

    Time frame: Weeks 24 and 48

  10. Number of Adverse Events

    Safety profile of dupilumab in subjects with AA by reported adverse effects, physical examinations and laboratory parameters

    Time frame: 48 weeks

07

Results

Posted Feb 14, 2022

Participant flow

Participant flow — Overall Study
MilestonePlacebo Then DupilumabDupilumab
Started2040
Completed2040
Not completed00

Outcome measures

PrimaryChange From Baseline in the Severity of Alopecia Tool (SALT) Score at Week 24

The SALT is a validated instrument for measuring the amount of scalp hair loss at a single point in time The SALT is a validated instrument for measuring the amount of scalp hair loss at a single point in time SALT - Scalp divided into four areas: vertex (40% of scalp surface area), right profile (18% of scalp surface area), left profile (18% of scalp surface area), and posterior scalp (24% of scalp surface area). Percentage of hair loss in these areas is multiplied by percent surface area of the scalp in that area. SALT score is the sum of percentage of hair loss in all areas. SALT scores range from 0 (no hair loss) to 100 (complete scalp hair loss) with lower score indicating better health outcomes/less hair loss. Primary Outcome is baseline minus Week 24 value.

Time frame:
Baseline and 24 weeks
Reported as:
Mean · score on a scale
Change From Baseline in the Severity of Alopecia Tool (SALT) Score at Week 24
score on a scalePlacebo Then DupilumabDupilumab
Change From Baseline in the Severity of Alopecia Tool (SALT) Score at Week 24-6.3 ± 4.22.3 ± 3
SecondaryChange From Week 24 in the SALT Score at Week 48

SALT - Scalp divided into four areas: vertex (40% of scalp surface area), right profile (18% of scalp surface area), left profile (18% of scalp surface area), and posterior scalp (24% of scalp surface area). Percentage of hair loss in these areas is multiplied by percent surface area of the scalp in that area. SALT score is the sum of percentage of hair loss in all areas. Week 24 minus week 48 value.

Time frame:
Week 24 and 48 weeks
Reported as:
Mean · score on a scale
Change From Week 24 in the SALT Score at Week 48
score on a scalePlacebo Then DupilumabDupilumab
Change From Week 24 in the SALT Score at Week 48-6.3 ± 4.22.3 ± 3
SecondaryChange From Baseline in the SALT Score at Week 48

Change in SALT score at Week 48 compared to Baseline. SALT - Scalp divided into four areas: vertex (40% of scalp surface area), right profile (18% of scalp surface area), left profile (18% of scalp surface area), and posterior scalp (24% of scalp surface area). Percentage of hair loss in these areas is multiplied by percent surface area of the scalp in that area. SALT score is the sum of percentage of hair loss in all areas. SALT scores range from 0 (no hair loss) to 100 (complete scalp hair loss) with lower score indicating better health outcomes/less hair loss. Baseline minus week 48 value.

Time frame:
Baseline and 48 weeks
Reported as:
Mean · score on a scale
Change From Baseline in the SALT Score at Week 48
score on a scalePlacebo Then DupilumabDupilumab
Change From Baseline in the SALT Score at Week 48-6.3 ± 4.22.3 ± 3
SecondaryNumber of Patients Achieving at Least 50% Improvement in Severity of Alopecia Tool (SALT) Score (SALT-50) at Weeks 24 and 48 Compared to Baseline

Number of subjects achieving SALT-50 score at Weeks 24 and 48 compared to Baseline. SALT - Scalp divided into four areas: vertex (40% of scalp surface area), right profile (18% of scalp surface area), left profile (18% of scalp surface area), and posterior scalp (24% of scalp surface area). Percentage of hair loss in these areas is multiplied by percent surface area of the scalp in that area. SALT score is the sum of percentage of hair loss SALT scores range from 0 (no hair loss) to 100 (complete scalp hair loss) with lower score indicating better health outcomes/less hair loss.in all areas.

Time frame:
weeks 24 and 48
Reported as:
Count of participants · Participants
Number of Patients Achieving at Least 50% Improvement in Severity of Alopecia Tool (SALT) Score (SALT-50) at Weeks 24 and 48 Compared to Baseline
ParticipantsPlacebo Then DupilumabDupilumab
Week 2404
Week 4839
SecondaryNumber of Patients Achieving at Least 75% Improvement in SALT-75 at Weeks 24 and 48

Number of patients with Severity of Alopecia Tool (SALT) Score (SALT-75) (\> or equal to 75% improvement in SALT score) at Weeks 24 compared to Baseline. SALT - Scalp divided into four areas: vertex (40% of scalp surface area), right profile (18% of scalp surface area), left profile (18% of scalp surface area), and posterior scalp (24% of scalp surface area). Percentage of hair loss in these areas is multiplied by percent surface area of the scalp in that area. SALT score is the sum of percentage of hair loss in all areas. SALT scores range from 0 (no hair loss) to 100 (complete scalp hair loss) with lower score indicating better health outcomes/less hair loss.

Time frame:
Weeks 24 and 48
Reported as:
Count of participants · Participants
Number of Patients Achieving at Least 75% Improvement in SALT-75 at Weeks 24 and 48
ParticipantsPlacebo Then DupilumabDupilumab
Week 2402
Week 4816
SecondaryNumber of Patients Achieving at Least 90% Improvement in Severity of Alopecia Tool (SALT) Score (SALT-90) at Weeks 24 and 48

The number of patients achieving at least 90% improvement in Severity of Alopecia Tool (SALT) score (SALT-90) at Weeks 24, 48 compared to Baseline

Time frame:
Weeks 24 and 48
Reported as:
Count of participants · Participants
Number of Patients Achieving at Least 90% Improvement in Severity of Alopecia Tool (SALT) Score (SALT-90) at Weeks 24 and 48
ParticipantsPlacebo Then DupilumabDupilumab
Week 2401
Week 4814
SecondaryChange in Alopecia Areata Symptom Impact Scale (AASIS)

Change in AASIS at Weeks 24 and 48 compared to Baseline. AASIS is a 13-item instrument, each item scored from 0 to 10 where higher scores correspond to worse symptom impact, full range from 0 to 130.

Time frame:
Weeks 24 and 48
Reported as:
Mean · score on a scale
Change in Alopecia Areata Symptom Impact Scale (AASIS)
score on a scalePlaceboDupilumab
Week 2410.25 ± 20.290.64 ± 22.27
Week 4822.6 ± 35.428.13 ± 27.65
SecondaryChange in Alopecia Areata Quality of Life Questionnaire

Change in the Alopecia Areata Quality of Life questionnaire (AA-QoL) at Weeks 24 and 48 compared to baseline. AAQoL is a 21-item instrument scored from 0 (poor) to 100 (good).

Time frame:
Weeks 24 and 48
Reported as:
Mean · score on a scale
Change in Alopecia Areata Quality of Life Questionnaire
score on a scalePlacebo Then DupilumabDupilumab
Week 244.29 ± 9.142.06 ± 8.49
Week 4822.6 ± 35.428.13 ± 27.65
SecondaryEyelash/Eyebrow Assessment Score Weeks 12, 24, 36, and 48 Compared to Baseline

Change in eyelash and eyebrow scores at Weeks 12, 24, 36, and 48 compared to baseline. The Eyelash/Eyebrow Assessment score based on a 5-point scale, ranging from 0 (none) to 4 (very prominent eyelashes/eyebrows).

Time frame:
Weeks 12, 24, 36, and 48
Reported as:
Mean · score on a scale
Eyelash/Eyebrow Assessment Score Weeks 12, 24, 36, and 48 Compared to Baseline
score on a scalePlacebo Then DupilumabDupilumab
Eyelash Week 120 ± 0.370.07 ± 0.24
Eyelash Week 240.37 ± 0.340.04 ± 0.24
Eyelash Week 36-0.15 ± 0.37-0.06 ± 0.27
Eyelash Week 48-0.17 ± 0.350.05 ± 0.26
Eyebrow Week 120.09 ± 0.370.21 ± 0.25
Eyebrow Week 240.27 ± 0.340.19 ± 0.24
Eyebrow Week 36-0.2 ± 0.340.17 ± 0.24
Eyebrow Week 48-0.03 ± 0.350.09 ± 0.25
SecondaryChange in EASI Scores From Baseline at Week 24 and 48

Change from baseline in Eczema Area and Severity Index (EASI) at Weeks 24 and 48. EASI scores range from 0 (no symptoms) to 72 (severe eczema) with lower score indicating better health outcomes/less eczema.

Time frame:
Weeks 24 and 48
Reported as:
Mean · score on a scale
Change in EASI Scores From Baseline at Week 24 and 48
score on a scalePlacebo Then DupilumabDupilumab
Week 24-1.45 ± 3.6110.6 ± 3.64
Week 4823.9 ± 10.6110.53 ± 3.75
SecondaryNumber of Adverse Events

Safety profile of dupilumab in subjects with AA by reported adverse effects, physical examinations and laboratory parameters

Time frame:
48 weeks
Reported as:
Number · events
Number of Adverse Events
eventsPlacebo Then DupilumabDupilumab
Number of Adverse Events249

Adverse events

Collected over 48 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/20 (0%)0/20 (0%)4/20 (20%)
Dupilumab0/40 (0%)1/40 (2.5%)22/40 (55%)
Most frequent serious events
Most frequent serious events
EventPlaceboDupilumab
Bladder CancerRenal and urinary disorders0/201/40
Most frequent other events
Showing 10 of 13
Most frequent other events
EventPlaceboDupilumab
Upper respiratory tract infectionInfections and infestations2/206/40
Other orthopedic injuries/proceduresMusculoskeletal and connective tissue disorders1/205/40
ConjuctivitisSkin and subcutaneous tissue disorders0/204/40
Gastrointestinal symptomsGastrointestinal disorders1/203/40
Injection site reactionSkin and subcutaneous tissue disorders0/202/40
FallGeneral disorders1/200/40
Urinary tract infectionInfections and infestations0/202/40
Oral herpesInfections and infestations1/200/40
Eosinophilic dermatitisSkin and subcutaneous tissue disorders0/201/40
FatigueGeneral disorders0/201/40

Baseline characteristics

Age, Continuous
Age, Continuous(years)Placebo Then DupilumabDupilumabTotal
Mean46.5 ± 14.441.6 ± 13.843 ± 13
Sex: Female, Male
Sex: Female, Male(Participants)Placebo Then DupilumabDupilumabTotal
Female133043
Male71017
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Placebo Then DupilumabDupilumabTotal
White153146
African American235
Asian268
Other101
Duration since last hair regrowth
Duration since last hair regrowth(years)Placebo Then DupilumabDupilumabTotal
Mean3.5 ± 33.8 ± 2.93.6 ± 3
Severity of alopecia tool (SALT)
Severity of alopecia tool (SALT)(units on a scale)Placebo Then DupilumabDupilumabTotal
Mean75.4 ± 26.170.5 ± 27.672.1 ± 27
Patients with SALT>75
Patients with SALT>75(Participants)Placebo Then DupilumabDupilumabTotal
Count of participants122032
Patients with SALT<75
Patients with SALT<75(Participants)Placebo Then DupilumabDupilumabTotal
Count of participants82028
Patients with Alopecia Totalis/Universalis
Patients with Alopecia Totalis/Universalis(Participants)Placebo Then DupilumabDupilumabTotal
Count of participants81321

10 further baseline measures are reported on the registry.

08

Study locations

2 sites
  • Icahn School of Medicine at Mount Sinai
    New York, New York 10029, United States
  • The Rockefeller University Laboratory for Investigative Dermatology
    New York, New York 10065-6399, United States
09

References and documents

Publications

  • Guttman-Yassky E, Renert-Yuval Y, Bares J, Chima M, Hawkes JE, Gilleaudeau P, Sullivan-Whalen M, Singer GK, Garcet S, Pavel AB, Lebwohl MG, Krueger JG. Phase 2a randomized clinical trial of dupilumab (anti-IL-4Ralpha) for alopecia areata patients. Allergy. 2022 Mar;77(3):897-906. doi: 10.1111/all.15071. Epub 2021 Sep 6. PubMed 34460948 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No — Since this study is designed to gain basic knowledge rather than to yield information directly related to patient care, the results are not entered in the participants' medical records. If, at a later date, correlations of in-vitro tests and the patients' clinical situation suggest that the results do bear on the patients' health, an amended protocol will be submitted to the IRB so that results can be made available to the medical record.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2018 to primary completion in Jan 2020, 24 months.

Results were first posted in Feb 2022, 2 years 1 month after primary completion.

Of 30 phase 2 interventional studies under Alopecia Areata, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 35. This study's 24 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 27, 2017
First posted
Dec 2, 2017
StartActual
Jan 9, 2018
Primary completionActual
Jan 14, 2020
CompletionActual
Dec 17, 2020
Results first posted
Feb 14, 2022
Last update
Sep 13, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 13, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03359356
Responsible party
Emma Guttman (Professor, Icahn School of Medicine at Mount Sinai) — Principal investigator
First posted
Dec 2, 2017
Start date
Jan 9, 2018
Primary completion
Jan 14, 2020
Completion
Dec 17, 2020
Results posted
Feb 14, 2022
Last update
Sep 13, 2022

Study contacts

Emma Guttman, MD,PhD
principal investigator · Icahn School of Medicine at Mount Sinai

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2022. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Dupilumab

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