This is a 2-year, open-label, exploratory study with a 4-week screening period and a 104-week treatment phase designed to investigate dupilumab's long-term effect on skin barrier function as measured by transepidermal water loss (TEWL) before and after skin tape stripping (STS) in approximately 48 pediatric participants (aged ≥6 and \<15 years at study entry) with moderate-to-severe AD. All eligible participants with AD will be treated with Dupixent® for 104 weeks according to locally approved Dupixent® product label (in country/region where the study is conducted). After the 104-week treatment phase and the last assessment at the End of Treatment (EoT), participants will be followed-up for 4 weeks and an End-of-Study (EoS) visit by telephone at 4 weeks after the EoT visit will end the study for each participant. The maximum duration of the study per participant will be 112 weeks (including screening period). The study population will include approximately 48 pediatric participants with AD for long-term treatment with dupilumab: * Treatment cohort 1 - newly recruited participants with AD (aged ≥6 to \<12 years at study entry) * Treatment cohort 2 - any former PELISTAD participants (from the previous 16-week treatment study \[PELISTAD/LPS16764\] who consent to participate in this long-term study; aged ≥6 to \<15 years at entry to this study)
Study duration for each participant will be approximately 112 weeks, including: * Screening period: Up to 4 weeks (Day -28 to Day -1) from signing the informed consent. * Open-label dupilumab treatment period: 104 weeks (from Day 1/Week 0 to Week 104). * Follow-up period: 4 weeks (safety follow-up phone visit at 4 weeks after the EoT visit).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
48
solution for injection; by subcutaneous (SC) injection
National Jewish Health Medical Center- Site Number : 8400001
Denver, Colorado, United States
SSM Health Saint Louis University Hospital- Site Number : 8400006
St Louis, Missouri, United States
NYU Langone Medical Center- Site Number : 8400004
New York, New York, United States
Investigational Site Number : 8260001
Sheffield, United Kingdom
Percent change from baseline in TEWL after 5 STS assessed on lesional skin.
Percent change from baseline in TEWL after 5 STS assessed on lesional skin.
Time frame: Baseline to Week 104
Changes from baseline (percent and absolute) in TEWL after 5, 10, 15, and 20 STS.
Changes from baseline (percent and absolute) in TEWL after 5, 10, 15, and 20 STS, respectively, assessed on lesional skin at each study visit
Time frame: Baseline to Week 104
Incidence of treatment-emergent adverse events (TEAEs) or serious adverse events (SAEs) during the study.
Time frame: Baseline to Week 108
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