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Trial ยท NCT04183335

Study of Dupilumab for the Treatment of Patients With Prurigo Nodularis, Inadequately Controlled on Topical Prescription Therapies or When Those Therapies Are Not Advisable (LIBERTY-PN PRIME)

NCT04183335, Phase 3, Completed, Sanofi; results first posted 2022-12-12

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of Dupilumab for the Treatment of Patients With Prurigo Nodularis, Inadequately Controlled on Topical Prescription Therapies or When Those Therapies Are Not Advisable (LIBERTY-PN PRIME). Trials, record NCT04183335. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04183335

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of Dupilumab for the Treatment of Patients With Prurigo Nodularis, Inadequately Controlled on Topical Prescription Therapies or When Those Therapies Are Not Advisable (LIBERTY-PN PRIME)
NCT number
NCT04183335
Status
Completed
Phases
Phase 3
Enrollment
151 participants, actual
Lead sponsor
Sanofi
Conditions
Neurodermatitis
Interventions
Dupilumab SAR231893, Placebo, Moisturizers, Low to medium potent topical corticosteroids, Topical calcineurin inhibitors
First posted
2019-12-03
Last updated
2025-09-17
Other registries' IDs
eudract:2019-003774-41
Results first posted
2022-12-12

Source ClinicalTrials.gov

Registered outcomes21

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of Participants With Improvement (Reduction) in Worst Itch Numeric Rating Scale (WI-NRS) Scores by Greater Than or Equal to (>=) 4 Points From Baseline to Week 24Baseline, Week 24
WI-NRS is a validated measure of itch severity. Participants were asked daily to rate the intensity of their worst pruritus (itch) over the past 24 hours, using a 11-point scale ranging from 0 (no itch) to 10 (worst imaginable itch). Higher scores indicated more severity. Percentage of participants with improvement (reduction) in WI-NRS scores by \>=4 points from Baseline to Week 24 is reported in this outcome measure.
SecondaryPercentage of Participants With Investigator's Global Assessment For Prurigo Nodularis-Stage (IGA PN-S) Scores of 0 or 1 at Week 24At Week 24
IGA PN-S is an instrument used to assess the overall number and thickness of PN lesions at a given time point, as determined by the investigator. It consists of a 5-point scale ranging from 0 to 4 where 0 = clear, 1 = almost clear, 2 = mild, 3 = moderate and 4 = severe. Higher scores indicate severe prurigo nodularis (PN). In this outcome measure, percentage of participants with IGA PN-S score of either 0 (clear) or 1 (almost clear) has been reported.
SecondaryPercentage of Participants With Both an Improvement (Reduction) in WI-NRS Scores by >=4 Points and an IGA PN-S Scores of 0 or 1 From Baseline at Week 24Baseline, Week 24
WI-NRS is a validated measure of itch severity. Participants were asked daily to rate the intensity of their worst pruritus (itch) over the past 24 hours, using a 11-point scale ranging from 0 (no itch) to 10 (worst imaginable itch), higher scores indicated more severity. IGA PN-S assess the overall number and thickness of PN lesions at a given time point, as determined by the investigator. It consists of a 5-point scale ranging from 0 to 4 where 0 = clear, 1 = almost clear, 2 = mild, 3 = moderate and 4 = severe. Higher scores indicated greater severity. Percentage of participants with both an improvement (reduction) in WI-NRS scores by \>=4 points (from Baseline) and an IGA PN-S scores of 0 or 1 were reported in this outcome measure.
SecondaryPercent Change From Baseline in WI-NRS Scores at Week 24Baseline, Week 24
WI-NRS is a validated measure of itch severity. Participants were asked daily to rate the intensity of their worst pruritus (itch) over the past 24 hours, using a 11-point scale ranging from 0 (no itch) to 10 (worst imaginable itch). Higher scores indicated more severity. Least squares (LS) mean and standard error (SE) were obtained from Analysis of covariance (ANCOVA) model.
SecondaryChange From Baseline in Health-Related Quality of Life (HRQoL) as Measured by Dermatology Life Quality Index (DLQI) at Week 24Baseline, Week 24
DLQI is developed to measure dermatology specific HRQoL in adult participants. It comprises of set of 10 questions assessing the impact of skin disease on participants' HRQoL over the previous week. Responses to each question were assessed on a 4-point Likert scale ranged from 0 (not at all) to 3 (very much). Scores from all 10 questions added up to give total DLQI scores ranged from 0 (not at all) to 30 (very much), higher scores indicated more impact on quality of life. LS means and SE were obtained from ANCOVA model.
SecondaryChange From Baseline in Skin Pain-NRS at Week 24Baseline, Week 24
Skin Pain-NRS was used to measure skin pain intensity. Participants were asked daily to rate the intensity of their worst skin pain over the past 24 hours, using a 11-point scale ranging from 0 ("No pain") to 10 ("Worst possible pain"). Higher scores indicated more severity. LS means and SE were obtained from ANCOVA model.
SecondaryChange From Baseline in Hospital Anxiety and Depression Scale (HADS) Total Score at Week 24Baseline, Week 24
HADS is a 14-item self-administered questionnaire that consists of 2 scales, one measuring anxiety (HADS-A), and the other measuring depression (HADS-D). Each subscale comprised of 7 items with a scoring range from 0 (less severity of anxiety and depression) to 21 (greater severity of anxiety and depression symptoms) for each subscale. The total HADS score ranges from 0 (less severity) to 42 (more severity), with a high score indicative of severe anxiety and/or depression level. LS means and SE were obtained from ANCOVA model.
SecondaryProbability of Participants With an Improvement (Reduction) in WI-NRS Scores by >=4 Points From Baseline at Week 24Baseline, Week 24
WI-NRS is a validated measure of itch severity. Participants were asked daily to rate the intensity of their worst pruritus (itch) over the past 24 hours, using a 11-point scale ranging from 0 (no itch) to 10 (worst imaginable itch). Higher scores indicated more severity. Probability of participants with an improvement (reduction) in WI-NRS at Week 24 was based on Kaplan-Meier estimates and was reported in this outcome measure.
SecondaryChange From Baseline in WI-NRS Scores at Week 12 and 24Baseline, Weeks 12 and 24
WI-NRS is a validated measure of itch severity. Participants were asked daily to rate the intensity of their worst pruritus (itch) over the past 24 hours, using a 11-point scale ranging from 0 (no itch) to 10 (worst imaginable itch). Higher scores indicated more severity. LS means and SE were obtained from ANCOVA model.
SecondaryPercent Change From Baseline in WI-NRS Scores at Weeks 2, 4 and 12Baseline, Weeks 2, 4 and 12
WI-NRS is a validated measure of itch severity. Participants were asked daily to rate the intensity of their worst pruritus (itch) over the past 24 hours, using a 11-point scale ranging from 0 (no itch) to 10 (worst imaginable itch). Higher scores indicated more severity. LS means and SE were obtained from ANCOVA model.

Outcomes21

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With Improvement (Reduction) in Worst Itch Numeric Rating Scale (WI-NRS) Scores by Greater Than or Equal to (>=) 4 Points From Baseline to Week 24Baseline, Week 24
Analysis was performed on intent-to-treat (ITT) population which included all participants with a treatment kit number allocated and recorded in the IRT database and were analyzed according to the treatment group allocated by randomization regardless of if treatment kit was used or not.
percentage of participantsNUMBER
SECONDARYPercentage of Participants With Investigator's Global Assessment For Prurigo Nodularis-Stage (IGA PN-S) Scores of 0 or 1 at Week 24At Week 24Analysis was performed on ITT population.percentage of participantsNUMBER
SECONDARYPercentage of Participants With Both an Improvement (Reduction) in WI-NRS Scores by >=4 Points and an IGA PN-S Scores of 0 or 1 From Baseline at Week 24Baseline, Week 24Analysis was performed on ITT population.percentage of participantsNUMBER
SECONDARYPercent Change From Baseline in WI-NRS Scores at Week 24Baseline, Week 24Analysis was performed on ITT population. Here, 'overall number of participants analyzed' = participants evaluable for this outcome measure.percent changeLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Health-Related Quality of Life (HRQoL) as Measured by Dermatology Life Quality Index (DLQI) at Week 24Baseline, Week 24Analysis was performed on ITT population. Here, 'overall number of participants analyzed' = participants evaluable for this outcome measure.score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Skin Pain-NRS at Week 24Baseline, Week 24Analysis was performed on ITT population. Here, 'overall number of participants analyzed' = participants evaluable for this outcome measure.score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Hospital Anxiety and Depression Scale (HADS) Total Score at Week 24Baseline, Week 24Analysis was performed on ITT population. Here, 'overall number of participants analyzed' = participants evaluable for this outcome measure.score on a scaleLEAST_SQUARES_MEAN
SECONDARYProbability of Participants With an Improvement (Reduction) in WI-NRS Scores by >=4 Points From Baseline at Week 24Baseline, Week 24Analysis was performed on ITT population.probability of participantsNUMBER
SECONDARYChange From Baseline in WI-NRS Scores at Week 12 and 24Baseline, Weeks 12 and 24
Analysis was performed on ITT population. Here, 'overall number of participants analyzed' = participants evaluable for this outcome measure and 'number analyzed' = participants with available data for each specified category.
score on a scaleLEAST_SQUARES_MEAN
SECONDARYPercent Change From Baseline in WI-NRS Scores at Weeks 2, 4 and 12Baseline, Weeks 2, 4 and 12
Analysis was performed on ITT population. Here, 'overall number of participants analyzed' = participants evaluable for this outcome measure and 'number analyzed' = participants with available data for each specified category.
percent changeLEAST_SQUARES_MEAN

Results by group160

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Improvement (Reduction) in Worst Itch Numeric Rating Scale (WI-NRS) Scores by Greater Than or Equal to (>=) 4 Points From Baseline to Week 24Placebo18.4percentage of participants
Percentage of Participants With Improvement (Reduction) in Worst Itch Numeric Rating Scale (WI-NRS) Scores by Greater Than or Equal to (>=) 4 Points From Baseline to Week 24Dupilumab 300 mg Q2W60.0percentage of participants
Percentage of Participants With Investigator's Global Assessment For Prurigo Nodularis-Stage (IGA PN-S) Scores of 0 or 1 at Week 24Placebo18.4percentage of participants
Percentage of Participants With Investigator's Global Assessment For Prurigo Nodularis-Stage (IGA PN-S) Scores of 0 or 1 at Week 24Dupilumab 300 mg Q2W48.0percentage of participants
Percentage of Participants With Both an Improvement (Reduction) in WI-NRS Scores by >=4 Points and an IGA PN-S Scores of 0 or 1 From Baseline at Week 24Placebo9.2percentage of participants
Percentage of Participants With Both an Improvement (Reduction) in WI-NRS Scores by >=4 Points and an IGA PN-S Scores of 0 or 1 From Baseline at Week 24Dupilumab 300 mg Q2W38.7percentage of participants
Percent Change From Baseline in WI-NRS Scores at Week 24Placebo-22.22Standard Error 5.74percent change
Percent Change From Baseline in WI-NRS Scores at Week 24Dupilumab 300 mg Q2W-48.89Standard Error 5.61percent change
Change From Baseline in Health-Related Quality of Life (HRQoL) as Measured by Dermatology Life Quality Index (DLQI) at Week 24Placebo-5.77Standard Error 1.05score on a scale
Change From Baseline in Health-Related Quality of Life (HRQoL) as Measured by Dermatology Life Quality Index (DLQI) at Week 24Dupilumab 300 mg Q2W-11.97Standard Error 1.02score on a scale

Participant flow8

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo76
Overall StudySTARTEDDupilumab 300 mg Q2W75
Overall StudyTreatedPlacebo75
Overall StudyTreatedDupilumab 300 mg Q2W75
Overall StudyCOMPLETEDPlacebo63
Overall StudyCOMPLETEDDupilumab 300 mg Q2W72
Overall StudyNOT COMPLETEDPlacebo13
Overall StudyNOT COMPLETEDDupilumab 300 mg Q2W3

Adverse events36

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNasopharyngitisInfections and infestationsPlacebo3753
otherNasopharyngitisInfections and infestationsDupilumab 300 mg Q2W4754
otherHeadacheNervous system disordersPlacebo4756
otherHeadacheNervous system disordersDupilumab 300 mg Q2W4759
otherNeurodermatitisSkin and subcutaneous tissue disordersPlacebo7758
otherNeurodermatitisSkin and subcutaneous tissue disordersDupilumab 300 mg Q2W2752
otherAccidental OverdoseInjury, poisoning and procedural complicationsPlacebo2752
otherAccidental OverdoseInjury, poisoning and procedural complicationsDupilumab 300 mg Q2W5755
seriousCovid-19Infections and infestationsPlacebo1751
seriousCovid-19Infections and infestationsDupilumab 300 mg Q2W0750

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo075
Total, all-cause mortalityDupilumab 300 mg Q2W075
Total, other adverse eventsPlacebo1575
Total, other adverse eventsDupilumab 300 mg Q2W1475
Total, serious adverse eventsPlacebo875
Total, serious adverse eventsDupilumab 300 mg Q2W575

Papers5

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
37142763DERIVEDPubMed
38865146DERIVEDPubMed
41219577DERIVEDPubMed
41922877DERIVEDPubMed
42120670DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Dupilumab 300 mg Q2W vs Placebo: deaths from any causeTrial comparisons
Dupilumab 300 mg Q2W vs Placebo: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04183335

GET https://conductscience.org/api/trials/v1/NCT04183335/registered?page=2