Rapid lung function improvement patients can feel as early as
Week
21-3
Lung function improvement through Week 52
Baseline blood EOS ≥300 cells/μL (QUEST, secondary endpoint)
~72%
OF THE TOTAL IMPROVEMENT
AT WEEK 2
LSM change from baseline in FEV1
(mL)
Weeks
- 0
- 2
- 4
- 8
- 12
- 16
- 20
- 24
- 28
- 32
- 36
- 40
- 44
- 48
- 52
470mL
IMPROVEMENT AT WEEK 52
in FEV1 compared to
baseline
FEV1 of 1.78 L
DUPIXENT
200 mg + SOC (n=264)
Placebo +
SOC (n=148)
- At Week 12 in patients with no biomaker requirement: 320 mL improvement
from
baseline in
pre-bronchodilator FEV1 with DUPIXENT
200
mg Q2W + SOC (n=631) vs 180 mL with placebo + SOC (n=317) (LSM
difference: 140 mL [95% Cl: 80, 190 mL]) (QUEST, primary endpoint)1,4
-
480 mL improvement from baseline in
pre-bronchodilator FEV1 at Week 52 with DUPIXENT
300 mg Q2W + SOC (n=277) vs
230 mL with
placebo +
SOC (n=142) (baseline blood EOS ≥300 cells/μL, QUEST, secondary
endpoint)1
-
In QUEST, a significant difference from placebo + SOC was not
observed at 12 weeks in change in pre-bronchodilator FEV1
in patients
with baseline blood EOS
≥150 to <300 cells/μL taking DUPIXENT
300 mg Q2W + SOC and in patients with baseline
blood EOS <150
cells/μL taking
DUPIXENT 200 mg Q2W or
300 mg Q2W + SOC1
Sustained lung function
improvement
patients
can feel2,4,5,a,b
UP TO
~3YEARS
OFBREATHING RELIEF
-
310 mL improvement in FEV1 at Week 96 in
the DUPIXENT/DUPIXENT group (n=447) from 1.78 L at baseline in the
parent study
for patients enrolled from
QUEST (overall exposed population, TRAVERSE OLE study, secondary
endpoint)4
- 330 mL improvement in FEV1 at Week 96 in the placebo/DUPIXENT
group (n=219) from 1.75 L at baseline in the parent
study for
patients enrolled from QUEST4
Results are descriptive. Definitive conclusions cannot be made.
Data were not multiplicity controlled and there are limitations associated
with open-label study design, including lack of comparator
arm, decreasing
sample size, and potential continued
involvement of responders and
attrition of
nonresponders.
Lung function
improvement in patients
with elevated EOS (≥150
cells/μL) and elevated
EOS + allergic asthma3,4
PATIENTS WITH ELEVATED EOS (QUEST, post
hoc analyses)
EOS ≥150 CELLS/μLEOS ≥300 CELLS/μLEOS
≥500 CELLS/μL
LSM change from baseline in
pre-bronchodilator FEV1 (mL)
- 600
- 500
- 400
- 300
- 200
- 100
- 0
LSM difference:
150
mL
(95%
Cl: 90,
220 mL)
DUPIXENT
300 mg Q2W + SOC
(n=347)
LSM difference:
250
mL
(95%
Cl: 160,
330 mL)
DUPIXENT
300 mg Q2W + SOC
(n=207)
LSM difference:
300
mL
(95%
Cl: 180,
420 mL)
DUPIXENT
300 mg Q2W + SOC
(n=141)
WEEK 52
Results are descriptive. Definitive conclusions cannot be made as this was a post-hoc
analysis. There are limitations on sample size and data
were not
multiplicity controlled.
DUPIXENT trials enrolled patients
with eosinophil levels up to 1500 cells/μL.1
QUEST primary endpoint
results (ITT
population)
-
320 mL improvement from baseline in
pre-bronchodilator FEV1 at Week 12 with DUPIXENT
200 mg Q2W + SOC (n=631) vs
180 mL with placebo + SOC (n=317) (LSM difference:
140 mL [95% CI: 80, 190 mL])1,4
-
340 mL improvement from baseline in
pre-bronchodilator FEV1 at Week 12 with DUPIXENT
300 mg Q2W + SOC (n=633) vs
210 mL with placebo + SOC (n=321) (LSM difference:
130 mL [95% CI: 80, 180 mL])6
-
In QUEST, a significant difference from placebo + SOC was not
observed at 12 weeks in change in pre-bronchodilator FEV1
in patients with baseline blood EOS ≥150 to <300 cells/μL taking
DUPIXENT 300 mg Q2W + SOC and in patients with
baseline blood EOS <150 cells/μL taking DUPIXENT
200 mg Q2W or 300 mg Q2W + SOC1
PATIENTS WITH ELEVATED EOS AND
ALLERGIC ASTHMA (QUEST, post
hoc
analyses)
EOS ≥150 CELLS/μL
+ ALLERGICEOS ≥300 CELLS/μL
+
ALLERGICEOS ≥500 CELLS/μL
+ ALLERGIC
LSM change from baseline in
pre-bronchodilator FEV1 (mL)
- 600
- 500
- 400
- 300
- 200
- 100
- 0
LSM difference:
140
mL
(95%
Cl: 50,
240 mL)
DUPIXENT
300 mg Q2W +
SOC (n=260)
LSM difference:
230
mL
(95%
Cl: 110,
350 mL)
DUPIXENT
300 mg Q2W +
SOC (n=153)
LSM difference:
300
mL
(95%
Cl: 140,
470 mL)
DUPIXENT
300 mg Q2W + SOC
(n=70)
WEEK 52
Results are descriptive. Definitive conclusions cannot be made as this was a post-hoc
analysis. There are limitations on sample size and data
were not
multiplicity controlled.
Allergic asthma was defined as total serum IgE ≥30 IU/mL + ≥1
positive perennial-aeroallergen–specific IgE ≥0.35 kU/L at
baseline.7
EOS, eosinophils; FEV1, forced expiratory
volume in 1
second; ICS, inhaled corticosteroid; ITT, intention-to-treat; LSM, least squares mean; OLE,
open-label extension;
Q2W, once every 2 weeks; SOC, standard
of care.