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Studied in 2 pivotal phase 3 trials

  PRIME PRIME2
Trial Overview1,2 Number of patients 151 160
Design Randomized, phase 3, double-blind
Duration 24 weeks
Treatment arms DUPIXENT vs placebo
Dosing Initial loading dose:
600 mg (2 x 300 mg)
Followed by: 300 mg Q2W (1 x 300 mg)

≈60% of participants were on a stable regimen of background TCS/TCI
The remaining ≈40% received DUPIXENT monotherapy or placebo
Primary endpoint ≥4-point improvement in WI-NRS at Week 24 (% of patients) ≥4-point improvement in WI-NRS at Week 12 (% of patients)
Select secondary endpoints IGA PN-S 0 (clear) or 1 (almost clear) at Week 24 (% of patients)
Composite endpoint of ≥4-point improvement in WI-NRS and IGA PN-S 0 or 1 at
Week 24 (% of patients)
Baseline Disease Severity /
Patient Characteristics1,2
IGA PN-Sa IGA PN-S 3 or 4
(equivalent to ≥20 nodular lesions)
WI-NRSb WI‑NRS ≥7
(on a scale of 0 to 10)
Atopic history 57% of participants did not have history of atopy

History of atopy defined as having a medical history of ≥1 of the following:
  • AD
  • Allergic rhinitis/rhinoconjunctivitis
  • Asthma
  • Food allergy
PRIME
Trial Overview1,2
Number of patients 151
Design Randomized, phase 3, double-blind
Duration 24 weeks
Treatment arms DUPIXENT vs placebo
Dosing Initial loading dose:
600 mg (2 x 300 mg)
Followed by:
300 mg Q2W (1 x 300 mg)

≈60% of participants were on a stable regimen of background TCS/TCI
The remaining ≈40% received DUPIXENT monotherapy or placebo
Primary endpoint ≥4-point improvement in WI-NRS at Week 24 (% of patients)
Select secondary endpoints IGA PN-S 0 (clear) or 1 (almost clear) at Week 24 (% of patients)
Composite endpoint of ≥4-point improvement in WI-NRS and IGA PN-S 0 or 1 at Week 24 (% of patients)
Baseline Disease Severity / Patient Characteristics1,2
IGA PN-Sa IGA PN-S 3 or 4
(equivalent to ≥20 nodular lesions)
WI-NRSb WI‑NRS ≥7
(on a scale of 0 to 10)
Atopic history 57% of participants did not have history of atopy

History of atopy defined as having a medical history of ≥1 of the following:
  • AD
  • Allergic rhinitis/
    rhinoconjunctivitis
  • Asthma
  • Food allergy
PRIME2
Trial Overview1,2
Number of patients 160
Design Randomized, phase 3, double-blind
Duration 24 weeks
Treatment arms DUPIXENT vs placebo
Dosing Initial loading dose:
600 mg (2 x 300 mg)
Followed by:
300 mg Q2W (1 x 300 mg)

≈60% of participants were on a stable regimen of background TCS/TCI
The remaining ≈40% received DUPIXENT monotherapy or placebo
Primary endpoint ≥4-point improvement in WI-NRS at Week 12 (% of patients)
Select secondary endpoints IGA PN-S 0 (clear) or 1 (almost clear)
Composite endpoint of ≥4-point improvement in WI-NRS and IGA PN-S 0 or 1
Baseline Disease Severity / Patient Characteristics1,2
IGA PN-Sa IGA PN-S 3 or 4
(equivalent to ≥20 nodular lesions)
WI-NRSb WI‑NRS ≥7
(on a scale of 0 to 10)
Atopic history 57% of participants did not have history of atopy

History of atopy defined as having a medical history of ≥1 of the following:
  • AD
  • Allergic rhinitis/
    rhinoconjunctivitis
  • Asthma
  • Food allergy

aIGA PN-S ranges from 0 (clear, no nodules) to 1 (almost clear, ≤5 nodules), 2 (mild, 6-19 nodules), 3 (moderate, 20-99 nodules), or 4 (severe, ≥100 nodules).

bThe WI-NRS is comprised of a single item, rated on a scale of 0 (“no itch”) to 10 (“worst imaginable itch”).

AD, atopic dermatitis; IGA PN-S, Investigator’s Global Assessment PN Stage; PN, prurigo nodularis; Q2W, once every 2 weeks; TCI, topical calcineurin inhibitors; TCS, topical corticosteroids; WI-NRS, Worst Itch numerical 
rating scale.