Dupixent® (dupilumab) Phase 3 Trial Confirms Significant Improvements in Itch and Hives for Patients with Chronic Spontaneous Urticaria (CSU)
Regeneron Pharmaceuticals and Sanofi announced positive results from a confirmatory Phase 3 trial (LIBERTY-CUPID Study C) of Dupixent for treating chronic spontaneous urticaria (CSU). The trial met primary and key secondary endpoints, showing:
- Nearly 50% reduction in itch and urticaria activity scores compared to placebo
- 30% of Dupixent-treated patients reported no urticaria vs 18% on placebo
- Safety results consistent with Dupixent's known profile
These results confirm findings from Study A. Regeneron plans to submit data to the FDA by year-end 2024 for potential U.S. approval. If approved, Dupixent would be the first targeted CSU therapy in a decade, potentially benefiting over 300,000 people in the U.S. with inadequately controlled CSU.
Regeneron Pharmaceuticals e Sanofi hanno annunciato risultati positivi da uno studio di conferma di Fase 3 (LIBERTY-CUPID Study C) su Dupixent per il trattamento della orticaria spontanea cronica (CSU). Lo studio ha raggiunto gli obiettivi primari e secondari chiave, mostrando:
- Una riduzione di quasi il 50% del prurito e dei punteggi di attività dell'orticaria rispetto al placebo
- Il 30% dei pazienti trattati con Dupixent ha riportato assenza di orticaria contro il 18% nel gruppo placebo
- I risultati di sicurezza sono coerenti con il profilo noto di Dupixent
Questi risultati confermano le conclusioni dello Studio A. Regeneron intende presentare i dati alla FDA entro la fine del 2024 per una potenziale approvazione negli Stati Uniti. Se approvato, Dupixent sarebbe la prima terapia mirata per la CSU in un decennio, potenzialmente a beneficio di oltre 300.000 persone negli Stati Uniti con CSU non adeguatamente controllata.
Regeneron Pharmaceuticals y Sanofi anunciaron resultados positivos de un ensayo de confirmación de fase 3 (Estudio LIBERTY-CUPID C) de Dupixent para el tratamiento de la urticaria espontánea crónica (UEC). El ensayo cumplió con los objetivos primarios y secundarios clave, mostrando:
- Una reducción de casi el 50% en el picor y en las puntuaciones de actividad de la urticaria en comparación con el placebo
- El 30% de los pacientes tratados con Dupixent informaron ausencia de urticaria frente al 18% en el grupo placebo
- Resultados de seguridad consistentes con el perfil conocido de Dupixent
Estos resultados confirman las conclusiones del Estudio A. Regeneron planea presentar los datos a la FDA a finales de 2024 para una posible aprobación en EE. UU. Si se aprueba, Dupixent sería la primera terapia dirigida para la UEC en una década, beneficiando potencialmente a más de 300,000 personas en EE. UU. con UEC no controlada adecuadamente.
Regeneron Pharmaceuticals와 Sanofi는 Dupixent의 만성 자발성 두드러기 (CSU) 치료를 위한 확인적인 3상 임상시험(LIBERTY-CUPID Study C)에서 긍정적인 결과를 발표했습니다. 이 시험은 주요 및 중요한 2차 목표를 달성하며 다음과 같은 결과를 보였습니다:
- 가려움증 및 두드러기 활동 점수가 위약에 비해 거의 50% 감소
- Dupixent 치료를 받은 환자의 30%가 두드러기가 없다고 보고한 반면 위약 그룹에서는 18%가 보고함
- 안전성 결과는 Dupixent의 알려진 프로필과 일치함
이 결과는 연구 A의 결과를 확인합니다. Regeneron은 2024년 말까지 FDA에 데이터를 제출할 계획이며, 미국에서의 잠재적 승인을 목표로 하고 있습니다. 승인이 이루어진다면, Dupixent는 10년 만에 처음으로 CSU를 목표로 한 치료제가 되어, 통제되지 않은 CSU로 고통받는 미국 내 30만 명 이상의 사람들에게 혜택을 줄 수 있을 것입니다.
Regeneron Pharmaceuticals et Sanofi ont annoncé des résultats positifs d'un essai de confirmation de phase 3 (Étude LIBERTY-CUPID C) pour Dupixent dans le traitement de l' L'essai a atteint les Objectifs primaires et secondaires clés, montrant :
- Une réduction de près de 50 % des démangeaisons et des scores d'activité de l'urticaire par rapport au placebo
- 30 % des patients traités par Dupixent ont signalé l'absence d'urticaire contre 18 % dans le groupe placebo
- Des résultats de sécurité cohérents avec le profil connu de Dupixent
Ces résultats confirment les conclusions de l'Étude A. Regeneron prévoit de soumettre les données à la FDA d'ici la fin de 2024 pour une éventuelle approbation aux États-Unis. Si approuvé, Dupixent serait la première thérapie ciblée pour l'USC depuis dix ans, pouvant potentiellement bénéficier à plus de 300 000 personnes aux États-Unis souffrant d'USC mal contrôlée.
Regeneron Pharmaceuticals und Sanofi gaben positive Ergebnisse aus einer bestärkenden Phase-3-Studie (LIBERTY-CUPID Studie C) zu Dupixent zur Behandlung der chronischen spontanen Urtikaria (CSU) bekannt. Die Studie erreichte die primären und wichtigen sekundären Endpunkte und zeigte:
- Fast 50%ige Reduktion des Juckreizes und der Urtikaria-Aktivitätsscores im Vergleich zur Placebo-Gruppe
- 30% der mit Dupixent behandelten Patienten berichteten von keiner Urtikaria, während es bei 18% der Placebo-Gruppe der Fall war
- Sicherheitsdaten waren konsistent mit dem bekannten Profil von Dupixent
Diese Ergebnisse bestätigen die Erkenntnisse aus Studie A. Regeneron plant, die Daten bis Ende 2024 bei der FDA einzureichen, um eine potenzielle Genehmigung in den USA zu erhalten. Wenn genehmigt, wäre Dupixent die erste gezielte CSU-Therapie seit einem Jahrzehnt und könnte über 300.000 Menschen in den USA zugutekommen, die schlecht kontrollierte CSU haben.
- Phase 3 trial met primary and key secondary endpoints
- Nearly 50% reduction in itch and urticaria activity scores vs placebo
- 30% of Dupixent-treated patients reported complete response vs 18% on placebo
- Safety profile consistent with known Dupixent safety in dermatological indications
- Potential to be first targeted CSU therapy in a decade if approved
- None.
Insights
The Phase 3 trial results for Dupixent in treating chronic spontaneous urticaria (CSU) are highly promising. The study demonstrated a
The positive Phase 3 results for Dupixent in CSU treatment present a significant market opportunity for Regeneron and Sanofi. With Dupixent already approved in Japan for CSU and plans to submit data to the FDA by year-end 2024, the companies are poised to expand Dupixent's indications. This could lead to increased revenue streams and market share in the dermatology sector. Dupixent's success across seven approved indications, now treating 1 million patients, demonstrates its versatility and growth potential. The CSU market, with over 300,000 potential patients in the U.S. alone, represents a lucrative expansion opportunity. Investors should monitor the FDA's response and potential approval timeline, as this could significantly impact Regeneron (NASDAQ: REGN) and Sanofi's stock performance in the coming years.
The CSU treatment landscape is set for a potential paradigm shift with Dupixent's promising results. As the first targeted therapy for CSU in a decade, Dupixent could capture a significant market share upon approval. The unmet need in CSU treatment, especially for patients unresponsive to antihistamines, presents a substantial market opportunity. Dupixent's efficacy in reducing itch and hives, coupled with its established safety profile, positions it as a strong contender in this space. The drug's success across multiple indications suggests potential for rapid adoption in CSU treatment. However, market penetration will depend on factors such as pricing, reimbursement policies and competition from emerging therapies. The global CSU market is expected to grow, driven by increasing diagnosis rates and demand for effective treatments, making this a strategic move for Regeneron and Sanofi.
Confirming the results of Study A, this second pivotal trial in biologic-naïve patients met primary and key secondary endpoints, showing treatment with Dupixent resulted in a nearly
More than 300,000 people in the U.S. suffer from CSU that is inadequately controlled by antihistamines
Data will support regulatory resubmission in the U.S. by year-end; if approved, Dupixent would be the first targeted therapy for CSU in a decade
TARRYTOWN, N.Y. and PARIS, Sept. 11, 2024 (GLOBE NEWSWIRE) -- Regeneron Pharmaceuticals, Inc. (NASDAQ: REGN) and Sanofi today announced that a Dupixent® (dupilumab) confirmatory Phase 3 trial (LIBERTY-CUPID Study C) met the primary and key secondary endpoints for the investigational treatment of patients with uncontrolled, biologic-naïve chronic spontaneous urticaria (CSU) receiving background therapy with antihistamines. CSU is a chronic skin condition that causes sudden and debilitating hives and persistent itch, which can impact quality of life. This positive trial confirms results from Study A, the first Phase 3 trial of Dupixent in this setting. Earlier this year, Japan was the first country in the world to approve and launch Dupixent for adult and adolescent CSU patients based on the results from Study A.
“Patients with uncontrolled chronic spontaneous urticaria experience debilitating itch and hives that appear without warning and disrupt their lives,” said George D. Yancopoulos, M.D., Ph.D., Board co-Chair, President and Chief Scientific Officer at Regeneron, and a principal inventor of Dupixent. “With a nearly
Study C enrolled 151 children and adults who were randomized to receive Dupixent (n=74) or placebo (n=77) added to standard-of-care histamine-1 (H1) antihistamines. At 24 weeks, efficacy among patients receiving Dupixent compared to placebo was as follows:
- 8.64-point reduction in itch severity from baseline with Dupixent versus a 6.10-point reduction with placebo (p=0.02).
- 15.86-point reduction in urticaria activity (itch and hive) severity from baseline with Dupixent versus an 11.21-point reduction with placebo (p=0.02).
Notably,
The safety results were generally consistent with the known safety profile of Dupixent in its approved dermatological indications. Overall rates of treatment emergent adverse events (AEs) were
Detailed results from this trial will be provided to the U.S. Food and Drug Administration by year-end 2024 in response to the additional data requested for inclusion in the supplemental biologics license application for Dupixent in CSU. These data are also planned for presentation at a forthcoming medical meeting.
“The positive pivotal data from this study reinforce the potential of Dupixent to offer a new treatment option for the many people suffering from chronic spontaneous urticaria who do not respond to standard-of-care antihistamines,” said Dietmar Berger, M.D., Ph.D., Chief Medical Officer, Global Head of Development at Sanofi. “With clinically meaningful reductions in itch and hives for patients receiving Dupixent, we look forward to sharing these data with the FDA to bring Dupixent to patients with CSU in the U.S. as soon as possible. With Dupixent now treating 1 million patients across seven approved indications, these new results underscore there are still many more patients that Dupixent can potentially benefit.”
Outside of Japan, the safety and efficacy of Dupixent for CSU has not been fully evaluated by any regulatory authority.
About Chronic Spontaneous Urticaria (CSU)
CSU is a chronic inflammatory skin disease driven in part by type 2 inflammation, which causes sudden and debilitating hives and persistent itch. CSU is typically treated with H1 antihistamines, medicines that target H1 receptors on cells to control symptoms of urticaria. However, the disease remains uncontrolled despite antihistamine treatment in many patients, some of whom are left with limited alternative treatment options. These individuals continue to experience symptoms that can be debilitating and significantly impact their quality of life.
About the Dupixent Phase 3 CSU Program (LIBERTY-CUPID)
The LIBERTY-CUPID Phase 3 program evaluating Dupixent in CSU consists of Study A, Study B and Study C. Study C was a randomized, double-blind, placebo-controlled clinical trial that evaluated the efficacy and safety of Dupixent as an add-on to standard-of-care antihistamines compared to antihistamines alone in 151 patients aged six years and older with CSU who remained symptomatic despite antihistamine use and were not previously treated with omalizumab (i.e., biologic-naïve). The primary endpoint assessed the change from baseline in itch at 24 weeks (measured by the weekly itch severity score [ISS7], 0-21 scale). A key secondary endpoint was the change from baseline in itch and hives at 24 weeks (measured by the weekly urticaria activity score [UAS7], 0-42 scale).
Study A supported the approval of Dupixent in Japan for the treatment of CSU in people aged 12 years and older whose disease is not adequately controlled with existing therapy.
Results from Study A and Study B (which assessed Dupixent in patients aged 12 years and older who were uncontrolled on standard-of-care H1 antihistamines and refractory to omalizumab) were published in the Journal of Allergy and Clinical Immunology.
About Dupixent
Dupixent, which was invented using Regeneron’s proprietary VelocImmune® technology, is a fully human monoclonal antibody that inhibits the signaling of the interleukin-4 (IL-4) and interleukin-13 (IL-13) pathways and is not an immunosuppressant. The Dupixent development program has shown significant clinical benefit and a decrease in type 2 inflammation in Phase 3 trials, establishing that IL-4 and IL-13 are key and central drivers of the type 2 inflammation that plays a major role in multiple related and often co-morbid diseases.
Dupixent has received regulatory approvals in more than 60 countries in one or more indications including certain patients with atopic dermatitis, asthma, chronic rhinosinusitis with nasal polyposis, eosinophilic esophagitis, prurigo nodularis, CSU, and chronic obstructive pulmonary disease in different age populations. More than 1,000,000 patients are being treated with Dupixent globally.
About Regeneron’s VelocImmune Technology
Regeneron's VelocImmune technology utilizes a proprietary genetically engineered mouse platform endowed with a genetically humanized immune system to produce optimized fully human antibodies. When Regeneron's co-Founder, President and Chief Scientific Officer George D. Yancopoulos was a graduate student with his mentor Frederick W. Alt in 1985, they were the first to envision making such a genetically humanized mouse, and Regeneron has spent decades inventing and developing VelocImmune and related VelociSuite® technologies. Dr. Yancopoulos and his team have used VelocImmune technology to create a substantial proportion of all original, FDA-approved or authorized fully human monoclonal antibodies. This includes REGEN-COV® (casirivimab and imdevimab), Dupixent, Libtayo® (cemiplimab-rwlc), Praluent® (alirocumab), Kevzara® (sarilumab), Evkeeza® (evinacumab-dgnb), Inmazeb® (atoltivimab, maftivimab and odesivimab-ebgn) and Veopoz™ (pozelimab-bbfg).
Dupilumab Development Program
Dupilumab is being jointly developed by Regeneron and Sanofi under a global collaboration agreement. To date, dupilumab has been studied across more than 60 clinical trials involving more than 10,000 patients with various chronic diseases driven in part by type 2 inflammation.
In addition to the currently approved indications, Regeneron and Sanofi are studying dupilumab in a broad range of diseases driven by type 2 inflammation or other allergic processes in Phase 3 trials, including chronic pruritus of unknown origin and bullous pemphigoid. These potential uses of dupilumab are currently under clinical investigation, and the safety and efficacy in these conditions have not been fully evaluated by any regulatory authority.
U.S. INDICATIONS
DUPIXENT is a prescription medicine used:
- to treat adults and children 6 months of age and older with moderate-to-severe eczema (atopic dermatitis or AD) that is not well controlled with prescription therapies used on the skin (topical), or who cannot use topical therapies. DUPIXENT can be used with or without topical corticosteroids. It is not known if DUPIXENT is safe and effective in children with atopic dermatitis under 6 months of age.
- with other asthma medicines for the maintenance treatment of moderate-to-severe eosinophilic or oral steroid dependent asthma in adults and children 6 years of age and older whose asthma is not controlled with their current asthma medicines. DUPIXENT helps prevent severe asthma attacks (exacerbations) and can improve your breathing. DUPIXENT may also help reduce the amount of oral corticosteroids you need while preventing severe asthma attacks and improving your breathing. DUPIXENT is not used to treat sudden breathing problems. It is not known if DUPIXENT is safe and effective in children with asthma under 6 years of age.
- with other medicines for the maintenance treatment of chronic rhinosinusitis with nasal polyposis (CRSwNP) in adults whose disease is not controlled. It is not known if DUPIXENT is safe and effective in children with chronic rhinosinusitis with nasal polyposis under 18 years of age.
- to treat adults and children 1 year of age and older with eosinophilic esophagitis (EoE), who weigh at least 33
pounds (15 kg). It is not known if DUPIXENT is safe and effective in children with eosinophilic esophagitis under 1 year of age, or who weigh less than 33pounds (15 kg). - to treat adults with prurigo nodularis (PN). It is not known if DUPIXENT is safe and effective in children with prurigo nodularis under 18 years of age.
IMPORTANT SAFETY INFORMATION
Do not use if you are allergic to dupilumab or to any of the ingredients in DUPIXENT®.
Before using DUPIXENT, tell your healthcare provider about all your medical conditions, including if you:
- have eye problems.
- have a parasitic (helminth) infection.
- are scheduled to receive any vaccinations. You should not receive a “live vaccine” right before and during treatment with DUPIXENT.
- are pregnant or plan to become pregnant. It is not known whether DUPIXENT will harm your unborn baby.
- A pregnancy registry for women who take DUPIXENT during pregnancy collects information about the health of you and your baby. To enroll or get more information call 1-877-311-8972 or go to https://mothertobaby.org/ongoing-study/dupixent/.
- are breastfeeding or plan to breastfeed. It is not known whether DUPIXENT passes into your breast milk.
Tell your healthcare provider about all the medicines you take, including prescription and over-the- counter medicines, vitamins, and herbal supplements.
Especially tell your healthcare provider if you are taking oral, topical, or inhaled corticosteroid medicines; have asthma and use an asthma medicine; or have atopic dermatitis, chronic rhinosinusitis with nasal polyposis, eosinophilic esophagitis, or prurigo nodularis and also have asthma. Do not change or stop your corticosteroid medicine or other asthma medicine without talking to your healthcare provider. This may cause other symptoms that were controlled by the corticosteroid medicine or other asthma medicine to come back.
DUPIXENT can cause serious side effects, including:
- Allergic reactions. DUPIXENT can cause allergic reactions that can sometimes be severe. Stop using DUPIXENT and tell your healthcare provider or get emergency help right away if you get any of the following signs or symptoms: breathing problems or wheezing, swelling of the face, lips, mouth, tongue or throat, fainting, dizziness, feeling lightheaded, fast pulse, fever, hives, joint pain, general ill feeling, itching, skin rash, swollen lymph nodes, nausea or vomiting, or cramps in your stomach-area.
- Eye problems. Tell your healthcare provider if you have any new or worsening eye problems, including eye pain or changes in vision, such as blurred vision. Your healthcare provider may send you to an ophthalmologist for an exam if needed.
- Inflammation of your blood vessels. Rarely, this can happen in people with asthma who receive DUPIXENT. This may happen in people who also take a steroid medicine by mouth that is being stopped or the dose is being lowered. It is not known whether this is caused by DUPIXENT. Tell your healthcare provider right away if you have: rash, chest pain, worsening shortness of breath, a feeling of pins and needles or numbness of your arms or legs, or persistent fever.
- Joint aches and pain. Some people who use DUPIXENT have had trouble walking or moving due to their joint symptoms, and in some cases needed to be hospitalized. Tell your healthcare provider about any new or worsening joint symptoms. Your healthcare provider may stop DUPIXENT if you develop joint symptoms.
The most common side effects include:
- Eczema: injection site reactions, eye and eyelid inflammation, including redness, swelling, and itching, sometimes with blurred vision, dry eye, cold sores in your mouth or on your lips, and high count of a certain white blood cell (eosinophilia).
- Asthma: injection site reactions, high count of a certain white blood cell (eosinophilia), pain in the throat (oropharyngeal pain), and parasitic (helminth) infections.
- Chronic Rhinosinusitis with Nasal Polyposis: injection site reactions, eye and eyelid inflammation, including redness, swelling, and itching, sometimes with blurred vision, high count of a certain white blood cell (eosinophilia), gastritis, joint pain (arthralgia), trouble sleeping (insomnia), and toothache.
- Eosinophilic Esophagitis: injection site reactions, upper respiratory tract infections, cold sores in your mouth or on your lips, and joint pain (arthralgia).
- Prurigo Nodularis: eye and eyelid inflammation, including redness, swelling, and itching, sometimes with blurred vision, herpes virus infections, common cold symptoms (nasopharyngitis), dizziness, muscle pain, and diarrhea.
Tell your healthcare provider if you have any side effect that bothers you or that does not go away.
These are not all the possible side effects of DUPIXENT. Call your doctor for medical advice about side effects. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Use DUPIXENT exactly as prescribed by your healthcare provider. It’s an injection given under the skin (subcutaneous injection). Your healthcare provider will decide if you or your caregiver can inject DUPIXENT. Do not try to prepare and inject DUPIXENT until you or your caregiver have been trained by your healthcare provider. In children 12 years of age and older, it’s recommended DUPIXENT be administered by or under supervision of an adult. In children 6 months to less than 12 years of age, DUPIXENT should be given by a caregiver.
Please see accompanying full Prescribing Information including Patient Information.
About Regeneron
Regeneron (NASDAQ: REGN) is a leading biotechnology company that invents, develops and commercializes life-transforming medicines for people with serious diseases. Founded and led by physician-scientists, our unique ability to repeatedly and consistently translate science into medicine has led to numerous approved treatments and product candidates in development, most of which were homegrown in our laboratories. Our medicines and pipeline are designed to help patients with eye diseases, allergic and inflammatory diseases, cancer, cardiovascular and metabolic diseases, neurological diseases, hematologic conditions, infectious diseases, and rare diseases.
Regeneron pushes the boundaries of scientific discovery and accelerates drug development using our proprietary technologies, such as VelociSuite®, which produces optimized fully human antibodies and new classes of bispecific antibodies. We are shaping the next frontier of medicine with data-powered insights from the Regeneron Genetics Center® and pioneering genetic medicine platforms, enabling us to identify innovative targets and complementary approaches to potentially treat or cure diseases.
For more information, please visit www.Regeneron.com or follow Regeneron on LinkedIn, Instagram, Facebook or X.
About Sanofi
We are an innovative global healthcare company, driven by one purpose: we chase the miracles of science to improve people’s lives. Our team, across the world, is dedicated to transforming the practice of medicine by working to turn the impossible into the possible. We provide potentially life-changing treatment options and life-saving vaccine protection to millions of people globally, while putting sustainability and social responsibility at the center of our ambitions.
Sanofi is listed on EURONEXT: SAN and NASDAQ: SNY.
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Regeneron Contacts: Media Relations Ilana Yellen Tel: +1 914-330-9618 Ilana.Yellen@regeneron.com Sanofi Contacts: Media Relations Sandrine Guendoul Tel: +33 6 25 09 14 25 Sandrine.Guendoul@sanofi.com Evan Berland Tel: +1 215-432-0234 Evan.Berland@sanofi.com Victor Rouault Tel: +33 6 70 93 71 40 Victor.Rouault@sanofi.com Timothy Gilbert Tel: +1 516-521-2929 Timothy.Gilbert@sanofi.com | Investor Relations Vesna Tosic Tel: +1 914-847-5443 Vesna.Tosic@regeneron.com Investor Relations Thomas Kudsk Larsen Tel: +44 7545 513 693 Thomas.Larsen@sanofi.com Alizé Kaisserian Tel: +33 6 47 04 12 11 Alize.Kaisserian@sanofi.com Arnaud Delépine Tel: +33 6 73 69 36 93 Arnaud.Delepine@sanofi.com Felix Lauscher Tel: +1 908-612-7239 Felix.Lauscher@sanofi.com Keita Browne Tel: +1 781-249-1766 Keita.Browne@sanofi.com Nathalie Pham Tel: +33 7 85 93 30 17 Nathalie.Pham@sanofi.com Tarik Elgoutni Tel: +1 617-710-3587 Tarik.Elgoutni@sanofi.com Thibaud Châtelet Tel: +33 6 80 80 89 90 Thibaud.Chatalet@sanofi.com |
FAQ
What were the main results of Regeneron's Dupixent Phase 3 trial for CSU?
When does Regeneron (REGN) plan to submit Dupixent CSU data to the FDA?
How many people in the U.S. could benefit from Dupixent for CSU if approved?