EVALUATED IN 133 AD PATIENTS (12+ YEARS) IN AD-HAFT1,2,a
The clinical trial in atopic dermatitis patients with uncontrolled moderate-to-severe hand and/or foot involvement included monotherapy treatment of hand and/or foot lesions (AD-HAFT). DUPIXENT was evaluated in a total of 133 atopic dermatitis patients aged 12 years and older with moderate-to-severe hand and/or foot involvement inadequately controlled with or intolerant to topical Rx therapies.
In AD-HAFT, patients ≥60 kg were initiated with a DUPIXENT loading dose (2 x 300 mg) or placebo (subcutaneous injection) at Week 0 followed by 1 DUPIXENT (300 mg) dose or placebo every 2 weeks. Patients weighing <60 kg were initiated with a DUPIXENT loading dose (2 x 200 mg) or placebo (subcutaneous injection) at Week 0, followed by 1 DUPIXENT (200 mg) dose or placebo every 2 weeks. Participants included subjects with both hand and foot involvement (n=71), foot-only involvement (n=4), and hand-only involvement (n=58).
Disease severity was defined by an IGA hand and foot score ≥3 in the overall assessment of atopic dermatitis hand and/or foot lesions on a severity scale of 0 to 4 and a hand and foot Peak Pruritus NRS score for maximum itch intensity >4. Fifty-three (53) percent (N=70/133) of the subjects also had moderate-to-severe AD outside of the hands or feet (IGA global ≥3).a
Atopic dermatitis with hand and/or foot involvement (ages 12+ years)1,2,a
133
Pivotal
trial1 double-
placebo trial
(AD-HAFT)
All DUPIXENT-treated adults and adolescents ≥60 kg received 300 mg Q2W after a 600 mg loading dose and adolescents <60 kg received 200 mg Q2W after a 400 mg loading doseb
at baseline
hand and foot
dermatitis
(IGA 3)
hand and foot
dermatitis
(IGA 4)
72%
28%
out of 360
at baselinec
out of 10
aThese baseline characteristics are not meant for comparison.1
bStudied vs placebo.
cWeekly average hand and foot Peak Pruritus NRS score (10 indicates the most severe).1
Primary endpoint of the AD-HAFT pivotal trial: the proportion of patients achieving clear or almost-clear skin (IGA hand and foot 0 or 1).1
Key secondary endpoints were patients who achieved ≥4-point improvement in hand and foot Peak Pruritus NRS at Week 16 and the proportion of patients achieving HECSI-75 (≥75% improvement from baseline) at Week 16.2
Dosing for DUPIXENT in this study was consistent with the approved
dosage in the Prescribing Information1,3See DOSAGEDosage and administration
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