Primary objective: To assess the disease control of moderate to severe atopic dermatitis in patients aged 12 years and above treated with dupilumab therapy using Atopic Dermatitis Control Tool (ADCT) after 24 weeks of treatment. Secondary objectives: * To figure the proportion of patients with reduction of ADCT score by 5 points after 4, 12, and 24 weeks of treatment. * To figure the proportion of patients with ADCT score less than 7 at weeks 4, 12, and 24. * Assess the effectiveness of dupilumab in moderate to severe atopic dermatitis (AD) patients, using the severity score as routine practice SCORing Atopic Dermatitis (SCORAD). * To describe comorbidities related to type 2 inflammation. * To characterize the safety profile of dupilumab in the local Gulf population. * To evaluate treatment satisfaction in the local Gulf population.
24 weeks
Study Type
OBSERVATIONAL
Enrollment
187
Investigational site Kuwait
Kuwait City, Kuwait
Investigational site Saudi Arabia
Saudi Arabia, Saudi Arabia
Investigational site United Arab Emirates
United Arab Emirates, United Arab Emirates
Percentage of patients achieving an Atopic Dermatitis Control Tool (ADCT) score less than 7 (defined as in control according to ADCT)
ADCT is a questionnaire to assess patient-self-perceived control of their atopic dermatitis (AD) with a total score from 0 to 24; higher scores indicate lower AD control.
Time frame: At week 24
Percentages (%) of patients achieving a reduction of 5 points from baseline in ADCT
ADCT is a questionnaire to assess patient-self-perceived control of their AD with a total score from 0 to 24; higher scores indicate lower AD control.
Time frame: At weeks 4, 12, and 24
Percentages (%) of patients with ADCT score less than 7
ADCT is a questionnaire to assess patient-self-perceived control of their AD with a total score from 0 to 24; higher scores indicate lower AD control.
Time frame: At weeks 4 and 12
Percentages (%) for patients achieving 50% and 75% reduction from baseline in SCORAD score (SCORAD-50 and SCORAD-75)
SCORAD is used to assess the extent and severity of AD. Extent and severity of AD as well as subjective assessment of symptoms were assessed and scored. SCORAD total score ranges from 0 (absent disease) to 103 (severe disease).
Time frame: At week 24
Mean change in SCORAD
SCORAD is used to assess the extent and severity of AD. Extent and severity of AD as well as subjective assessment of symptoms were assessed and scored. SCORAD total score ranges from 0 (absent disease) to 103 (severe disease).
Time frame: From baseline (week 0) to week 24
Number of patients with at least one type-2 inflammation comorbidity
Comorbidities related to type-2 inflammation as (allergic rhinitis, bronchial asthma, chronic rhinosinusitis with nasal polyps, and eosinophilic esophagitis).
Time frame: Baseline (week 0) to week 24
Adverse events (AEs) related to dupilumab use
Number of patients experiencing adverse events (AEs) related to dupilumab use.
Time frame: Baseline (week 0) to week 24
Serious adverse events (SAEs) related to dupilumab use
Number of patients experiencing serious adverse events (SAEs) related to dupilumab use.
Time frame: Baseline (week 0) to week 24
Adverse events of special interest (AESI) related to dupilumab use
Number of patients experiencing adverse events of special interest (AESI) related to dupilumab use. An AESI is an adverse event (serious or non-serious) of scientific and medical concern specific to the Sponsor's product or program, for which ongoing monitoring and rapid communication by the Investigator to the Sponsor is required.
Time frame: Baseline (week 0) to week 24
Treatment interruption due to any adverse drug reaction (ADR), AE, SAE, or AESI
Number of patients experiencing treatment interruption due to any adverse drug reaction, AE, SAE, or AESI. An AESI is an adverse event (serious or non-serious) of scientific and medical concern specific to the Sponsor's product or program, for which ongoing monitoring and rapid communication by the Investigator to the Sponsor is required.
Time frame: Baseline (week 0) to week 24
Treatment satisfaction: Number of patients achieving patient global assessment of treatment effect (PGATE) level very good
PGATE is an assessment tool used to rate the treatment effect of the medication on atopic dermatitis (AD), with scores ranging from 0 to 4 (0 = poor; 1 = fair; 2 = good; 3 = very good; 4 = excellent), i.e., higher score indicated higher treatment effect.
Time frame: At week 24
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