A Study to Investigate Improvement in Pruritus of Lichen Simplex Chronicus With Dupilumab Injections Compared With Placebo in Male and Female Participants Aged at Least 18 Years (STYLE 2)
Study on Investigational Medication for Pruritus in Lichen Simplex Chronicus (LSC)
Study Overview
This is a parallel, Phase 3, 2-arm study for treatment. The purpose of this study is to measure improvement in pruritus with dupilumab subcutaneous injections compared with placebo injections in male and female participants aged at least 18 years with LSC.
Study details include:
The study duration will be up to 40 weeks. The treatment duration will be up to 24 weeks. The follow-up duration after treatment will be 12 weeks. The number of visits will be 6.
Eligibility Criteria
You may be eligible for this study if you meet the following criteria:
- Conditions: Lichen Simplex Chronicus
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Age: 18 years or above
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Gender: All
Inclusion Criteria:
Participants are eligible to be included in the study only if all of the following criteria apply (at screening and baseline unless otherwise specified):
- Participant must be at least 18 years of age or the legal age of consent in the jurisdiction in which the study is taking place at the time of signing the informed consent.
- Participants with moderate-to-severe LSC, as defined by Investigator's Global
Assessment (IGA) score ≥3 and one or more of the following:
- at least 1 single anogenital lesion;
- at least 2 lesions including 1 lesion of ≥3 cm in diameter;
- at least 1 severe lesion (IGA score = 4).
- History of LSC for at least 6 months prior to the screening visit.
- On the Worst-Itch Numerical Rating Scale (WI-NRS) ranging from 0 to 10, participants must have an average worst-itch of LSC score of ≥7 in the 7 days prior to Day 1. A minimum of 4 daily scores out of the 7 days is required to calculate the baseline average score. For participants who do not have at least 4 daily scores reported during the 7 days immediately preceding the planned randomization date, randomization can be postponed until this requirement is met, but without exceeding the 28-day maximum duration of the screening period.
- History of failing a 2-week course of medium-to-superpotent topical corticosteroid (TCS) +/- topical calcineurin inhibitor (TCI) for the treatment of LSC within the last 6 months, unless TCS/TCI are medically not advisable. Patients with documented systemic treatment for LSC (other than antihistamines) in the past 6 months are also considered as inadequate responders to topical treatments and are potentially eligible for treatment with dupilumab after appropriate washout.
- Appropriate contraceptive measures
Exclusion Criteria:
Participants are excluded from the study if any of the following criteria apply (at screening and baseline unless otherwise specified):
- Participants diagnosed with active lesions of prurigo nodularis (broadly distributed nodules) or active lesions of atopic dermatitis (AD) within 6 months, contact dermatitis, psoriasis, cutaneous T-cell lymphoma (CTCL) XE "CTCL" \f Abbreviation \t "cutaneous T-cell lymphoma" (or suspected of CTCL), vulvar lichen planus, or vulvar lichen sclerosus.
- Presence of skin morbidities other than LSC that, in the opinion of the Investigator, may interfere with the assessment of the study outcomes. For example: scabies, insect bite, folliculitis, lymphomatoid papulosis, chronic actinic dermatitis, dermatitis herpetiformis, sporotrichosis, bullous disease, lichen planus hypertrophicus.
- Severe concomitant illness(es) that, in the Investigator's judgment, would adversely affect the participant's participation in the study.
- Severe psychiatric disease that, in the Investigator's judgement, would affect the study intervention evaluation.
- Having received or planning to use any of the treatments within the timeframe as specified in the protocol.
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
This study investigates the effects of an investigational medication on pruritus, which is a severe itching sensation, in individuals with Lichen Simplex Chronicus (LSC). LSC is a skin condition characterized by thickened, itchy patches of skin. The study compares the investigational medication given through subcutaneous injections to placebo injections in adults aged 18 and older.
Participants will receive either the investigational medication or a placebo, which is an inactive substance that looks like the investigational medicine but does not contain any medicine. The study will involve regular assessments to measure the severity of itching and the condition of the skin patches.
- Who can participate: Adults aged 18 and older with moderate-to-severe LSC can participate if they have had the condition for at least 6 months. Participants must have a history of inadequate response to topical treatments and meet specific criteria related to the severity of their condition.
- Study details: Participants will be monitored for changes in their condition after receiving either the investigational medication or a placebo through injections.
- Study Timelines and Visits: The study will last up to 40 weeks. The study requires 6 visits.