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Moderate to Severe Atopic Hand and Foot DermatitisPhase 3NCT04417894

A Study to Evaluate the Efficacy and Safety of Dupilumab in Adult and Adolescent Patients With Moderate-to-Severe Atopic Hand and Foot Dermatitis (Liberty-AD-HAFT)

A Phase 3 study testing dupilumab in people with Moderate to Severe Atopic Hand and Foot Dermatitis, run by Regeneron Pharmaceuticals at 48 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary objective of the study is to assess the efficacy of dupilumab on skin lesions in patients with atopic hand and foot dermatitis. The secondary objectives of the study are: To assess the efficacy of dupilumab on various other domains (pruritus, pain, sleep loss, health related QoL, work life impairment) in… Read more about this study

Who is it for?
Ages 12 years and older
What is being tested?
dupilumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
133 participants
Where
48 sitesin 4 countries
Study dates
14 Apr 2021to 23 Nov 2022
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Patients with involvement of at least 2 anatomical areas at screening and baseline
  • Patients need to have an IGA hand and foot score of 3 or 4 (moderate-to-severe disease) at screening and baseline
  • Patients with documented recent history (within 6 months before the screening visit) of inadequate response of atopic hand and foot dermatitis to topical medication(s)
  • Patients meet the diagnosis criteria for atopic dermatitis (AD)
  • Provide informed consent/assent signed by study patient or legally acceptable representative
  • Patients need to have been compliant with the skin protection measures through the entire duration of the screening period

Who cannot join

  • Treatment with dupilumab in the past
  • Patients with a positive patch test reaction that are deemed to be clinically relevant as the current cause of the hand and foot dermatitis
  • Patients with documented exposure to irritants believed to be a predominant cause of the current hand and foot dermatitis
  • Treatment with systemic corticosteroids or non-steroidal immunosuppressive drugs within 4 weeks prior to baseline
  • Known history of HIV/HBV/HCV infection
  • Pregnant or breastfeeding women or planning to become pregnant or breastfeed during the patient's participation in this study
  • Women of childbearing potential (WOCBP) who are unwilling to practice highly effective contraception prior to the initial dose/start of the first treatment and during the study
  • NOTE: Other protocol defined inclusion / exclusion criteria apply

Trial locations and contacts

48 sites in 4 countries.

48 sites in 4 countries

United States17 sites
  • Regeneron Study Site

    Birmingham, Alabama, 35209

  • Regeneron Study Site

    Columbus, Indiana, 47201

  • Regeneron Study Site

    Houston, Texas, 77004

  • Regeneron Study Site

    Kew Gardens, New York, 11415

  • Regeneron Study Site

    Macon, Georgia, 31217

  • Regeneron Study Site

    Milwaukee, Wisconsin, 53226

  • Regeneron Study Site

    Mineola, New York, 11501

  • Regeneron Study Site

    Morgantown, West Virginia, 26505

  • Regeneron Study Site

    Norfolk, Virginia, 23502

  • Regeneron Study Site

    Portland, Oregon, 97239

  • Regeneron Study Site

    Redwood City, California, 94063

  • Regeneron Study Site

    Rockville, Maryland, 20850

  • Regeneron Study Site

    Saint Joseph, Missouri, 64506

  • Regeneron Study Site

    Sandy Springs, Georgia, 30328

  • Regeneron Study Site

    St Louis, Missouri, 63104

  • Regeneron Study Site

    Washington D.C., District of Columbia, 20037

  • Regeneron Study Site

    Winston-Salem, North Carolina, 27157

Other trials in United States

Germany12 sites
  • Regeneron Study Site

    Augsburg, 86179

  • Regeneron Study Site

    Berlin, 10117

  • Regeneron Study Site

    Berlin, 10789

  • Regeneron Study Site

    Bonn, 53127

  • Regeneron Study Site

    Dresden, 01307

  • Regeneron Study Site

    Frankfurt am Main, Hesse, 60590

  • Regeneron Study Site

    Gera, 07548

  • Regeneron Study Site

    Kiel, 24105

  • Regeneron Study Site

    Langenau, Baden-Wurttemberg, 89129

  • Regeneron Study Site

    Lübeck, 23538

  • Regeneron Study Site

    Mahlow, 15831

  • Regeneron Study Site

    Münster, 48149

Other trials in Germany

Poland11 sites
  • Regeneron Study Site

    Bialystok, 15-453

  • Regeneron Study Site

    Chorzów, 41-516

  • Regeneron Study Site

    Katowice, 40-648

  • Regeneron Study Site

    Katowice, 40-851

  • Regeneron Study Site

    Kielce, 25-155

  • Regeneron Study Site

    Ostrowiec Świętokrzyski, 27-400

  • Regeneron Study Site

    Warsaw, 01-142

  • Regeneron Study Site

    Warsaw, 02-692

  • Regeneron Study Site

    Warsaw, 02-953

  • Regeneron Study Site

    Wroclaw, 50-381

  • Regeneron Study Site

    Wroclaw, 51-318

Other trials in Poland

Japan8 sites
  • Regeneron Study Site

    Kawasaki, Kanagawa, 211-0063

  • Regeneron Study Site

    Kyoto, 602-8566

  • Regeneron Study Site

    Osaka, 532-0003

  • Regeneron Study Site

    Sakai, Osaka, 593-8324

  • Regeneron Study Site

    Shinjuku, Tokyo, 169-0075

  • Regeneron Study Site

    Tachikawa, Tokyo, 190-0023

  • Regeneron Study Site

    Tokyo, 105-0012

  • Regeneron Study Site

    Tokyo, 143-0023

Other trials in Japan

About this study

Official title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel- Group Study to Evaluate the Efficacy and Safety of Dupilumab in Adult and Adolescent Patients With Moderate-to-Severe Atopic Hand and Foot Dermatitis

The primary objective of the study is to assess the efficacy of dupilumab on skin lesions in patients with atopic hand and foot dermatitis.

The secondary objectives of the study are:

  • To assess the efficacy of dupilumab on various other domains (pruritus, pain, sleep loss, health related QoL, work life impairment) in patients with atopic hand and foot dermatitis
  • To evaluate the safety and tolerability of dupilumab administered to patients with atopic hand and foot dermatitis
  • To evaluate systemic exposure and immunogenicity of dupilumab in patients with atopic hand and foot dermatitis
Being tested
dupilumab, Placebo

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • dupilumabDrug

    Also called DUPIXENT®, REGN668, SAR231893

    Solution for subcutaneous (SC) injection administration

  • PlaceboDrug

    Solution for SC injection administration

Study groups in NCT04417894
Study groupRoleWhat they receive
dupilumabExperimentalAdministered subcutaneously (SC) once every 2 weeks (Q2W), following a loading dose on Day 1
Receives: Drug: dupilumab
Matching PlaceboExperimentalAdministered SC Q2W, following a loading dose on Day 1
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Hand and Foot Investigator Global Assessment (IGA) 0 or 1 at Week 16

    IGA is an assessment scale used to determine severity of hand and foot AD and clinical response to treatment on a 5-point scale (0 = clear; 1 = almost clear; 2 = mild; 3 = moderate; 4 = severe) based on erythema and papulation/infiltration. Higher score is indicative of more severe disease.

    Measured: At week 16

Secondary outcomes (19)
  1. Percentage of Participants With Improvement (Reduction) of Weekly Average of Daily Hand and Foot Peak Pruritus Numerical Rating Scale (NRS) of ≥4 Points From Baseline to Week 16

    Pruritus NRS is an assessment tool that is used to report the intensity of a patient's pruritus (itch), both maximum and average intensity, during a 24-hour recall period; maximum itch intensity on a scale of 0 - 10 (0 = no itch; 10 = worst itch imaginable).

    Measured: Baseline to week 16

  2. Percentage of Participants With Improvement (Reduction) of Weekly Average of Daily Hand and Foot Peak Pruritus NRS ≥3 From Baseline to Week 16

    Pruritus NRS is an assessment tool that is used to report the intensity of a patient's pruritus (itch), both maximum and average intensity, during a 24-hour recall period; maximum itch intensity on a scale of 0 - 10 (0 = no itch; 10 = worst itch imaginable).

    Measured: Baseline to week 16

  3. Percent Change From Baseline to Week 16 in Weekly Average of Daily Hand and Foot Peak Pruritus NRS

    Pruritus NRS is an assessment tool that is used to report the intensity of a patient's pruritus (itch), both maximum and average intensity, during a 24-hour recall period; maximum itch intensity on a scale of 0 - 10 (0 = no itch; 10 = worst itch imaginable).

    Measured: Baseline to week 16

  4. Percent Change in Modified Total Lesion Sign Score (mTLSS) for Hand/Foot Lesions From Baseline to Week 16

    mTLSS combines an evaluation of hand and foot eczema lesions severity; scores are summed, extending from a base estimation of 0 (no signs or symptoms) to the most extreme of 18 (more serious disease).

    Measured: Baseline to Week 16

  5. Change From Baseline to Week 16 in Weekly Average of Daily Hand and Foot Peak Pain NRS

    Pain NRS Scale is an assessment tool used to report the intensity of a participant's pain. Participants will select the number between 0 and 10 that fits best to their worst pain intensity over the past 24 hours (0 = no pain and 10 = the worst pain possible).

    Measured: Baseline to week 16

  6. Mean Change From Baseline to Week 16 in Weekly Average of Daily Sleep NRS

    Sleep NRS is an 11-point scale (0 to 10) in which 0 indicates worst possible sleep while 10 indicates best possible sleep.

    Measured: Baseline to week 16

  7. Change From Baseline to Week 16 in Percent Surface Area of Hand and Foot Involvement With Atopic Dermatitis (AD)

    Measured: Baseline to week 16

  8. Percent Change From Baseline to Week 4 in Weekly Average of Daily Hand and Foot Peak Pruritus NRS

    Pruritus NRS is an assessment tool that is used to report the intensity of a participant's pruritus (itch), both maximum and average intensity, during a 24-hour recall period; maximum itch intensity on a scale of 0 - 10 (0 = no itch; 10 = worst itch imaginable).

    Measured: Baseline to week 4

  9. Percentage of Participants With Improvement (Reduction) of Weekly Average of Daily Hand and Foot Peak Pruritus NRS ≥4 From Baseline to Week 4

    Pruritus NRS is an assessment tool that is used to report the intensity of a participant's pruritus (itch), both maximum and average intensity, during a 24-hour recall period; maximum itch intensity on a scale of 0 - 10 (0 = no itch; 10 = worst itch imaginable).

    Measured: Baseline to week 4

  10. Percent Change From Baseline to Week 16 in Hand Eczema Severity Index (HECSI) Score in Participants With Hand Dermatitis

    For participants with hand dermatitis HECSI is an instrument used in clinical trials to rate the severity of 6 clinical signs of hand eczema and the extent of the lesions on each of 5 hand areas by use of standard scales. The total HECSI score is based on a 4-point severity scale ranging from 0 (none/absent) to 3 (severe) and a 5-point scale rating the affected area(s) ranging from 0 (0% affected area) to 4 (76% to 100% affected area). The range for the combined HECSI score is from 0 to 360 (5x6x3x4).

    Measured: Baseline to week 16

  11. Percentage of Participants With HECSI-75 at Week 16

    HECSI-75 is defined as HECSI score has ≥75% improvement from baseline for participants with hand dermatitis.

    Measured: At week 16

  12. Percentage of Participants With HECSI-50 at Week 16

    HECSI-50 is defined as HECSI score has ≥50% improvement from baseline, for participants with hand dermatitis.

    Measured: At week 16

  13. Percentage of Participants With HECSI-90 at Week 16

    HECSI-90 is defined as HECSI score has ≥90% improvement from baseline for participants with hand dermatitis.

    Measured: At week 16

  14. Change From Baseline to Week 16 in Quality of Life in Hand Eczema Questionnaire (QOLHEQ)

    For participants with hand dermatitis, QOLHEQ is an instrument to assess disease specific Health Related Quality of Life (HRQOL) in those suffering from hand eczema. QOLHEQ overall scoring ranges as follows: 0 (best score) to 117 (worst score).

    Measured: Baseline to week 16

  15. Mean Change From Baseline to Week 16 in Work Productivity and Impairment (WPAI) and Classroom Impairment Questionnaire (CIQ)

    WPAI + CIQ is a self-administered instrument used to capture the impairment to work productivity/classroom impairment and activity due to atopic hand and foot dermatitis. The WPAI+CIQ yields 4 types of scores: absenteeism, presenteeism, work/classroom productivity loss and activity impairment. All scores range from 0 to 100% with 100% indicating total work/classroom productivity impairment and 0 no impairment at all.

    Measured: Baseline to week 16

  16. Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs) Through Week 16

    Measured: Through week 16

  17. Trough Concentration of Functional Dupilumab in Serum at Various Time Points

    Measured: Up to week 28

  18. Number of Participants With Treatment-Emergent (TE) Anti-Drug Antibody (ADA)

    Measured: Up to week 28

  19. Number of Participants With Treatment-Emergent ADA by Maximum Titer Category

    Measured: Up to Week 28

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Jun 2020
  2. Study start14 Apr 2021
  3. Primary completion31 Aug 2022
  4. Study completion23 Nov 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
133 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04417894
Sponsor's protocol ID
R668-AD-1924
Other IDs
2019-003088-22, 2019
Status last verified
Dec 2023
First submitted
2 Jun 2020
Last updated
22 Dec 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing

Publications

  • Armstrong A, Kircik L, Metelitsa A, Warren RB, Rodriguez A, Volc S, Issa N, Chovatiya R, von Eyben R, Festini T, Johansen P, Ehst B. Tralokinumab Versus Dupilumab for the Treatment of Atopic Dermatitis with Moderate-to-Severe Hand Involvement: A Matching-Adjusted Indirect Comparison. Dermatol Ther (Heidelb). 2026 Oct 2. doi: 10.1007/s13555-026-01922-8. Online ahead of print.

    PubMed 42825999
  • Cohen D, Bewley A, Wollenberg A, Hong HC, Armstrong A, Jonsen E, Maslin D, Thoning H, von Eyben R, Chovatiya R. Matching-Adjusted Indirect Comparison of the Efficacy of Delgocitinib Cream and Dupilumab in the Treatment of Moderate to Severe Atopic Hand Eczema. Dermatol Ther (Heidelb). 2026 Jan;16(1):423-436. doi: 10.1007/s13555-025-01592-y. Epub 2025 Nov 15.

    PubMed 41240207

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing dupilumab in people with Moderate to Severe Atopic Hand and Foot Dermatitis, run by Regeneron Pharmaceuticals at 48 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 48 sites in United States, Germany, Poland, Japan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 22 Dec 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With Hand and Foot Investigator Global Assessment (IGA) 0 or 1 at Week 16 (time frame: At week 16). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04417894, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Dec 2023.

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