A Long-term Data Collection Study of Participants in France Aged 6 Years Old or More With Atopic Dermatitis Receiving Dupilumab (DUPILAB)
French Prospective Observational Study of Patients Receiving Dupilumab for Atopic Dermatitis.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Trial Transparency email recommended (Toll free for US & Canada)
- Phone Number: option 6 800-633-1610
- Email: Contact-US@sanofi.com
Study Locations
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Amiens, France, 80054
- Investigational Site Number: 2500041
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Angers, France, 49000
- Investigational Site Number: 2500037
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Argenteuil, France, 95107
- Investigational Site Number: 2500021
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Armentières, France, 59280
- Investigational Site Number: 2500044
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Arras, France, 62000
- Investigational Site Number: 2500018
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Ars Laquenexy, France, 57530
- Investigational Site Number: 2500011
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Avignon, France, 84000
- Investigational Site Number: 2500023
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Besançon, France, 25000
- Investigational Site Number: 2500001
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Bron, France, 69500
- Investigational Site Number: 2500003
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Caen, France, 14033
- Investigational Site Number: 2500043
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Chambery, France, 73000
- Investigational Site Number: 2500050
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Clermont Ferrand, France, 63113
- Investigational Site Number: 2500006
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Dijon, France, 21231
- Investigational Site Number: 2500005
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Epagny Metz Tessy, France, 74370
- Investigational Site Number: 2500004
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Fort-de-France, France, 97261
- Investigational Site Number: 2500039
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La Tronche, France, 38700
- Investigational Site Number: 2500045
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Le Havre, France, 76083
- Investigational Site Number: 2500019
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Le Mans, France, 72037
- Investigational Site Number: 2500040
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Les Sables d'Olonne, France, 85100
- Investigational Site Number: 2500038
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Levallois-Perret, France, 92300
- Investigational Site Number: 2500048
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Lille, France, 59037
- Investigational Site Number: 2500032
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Limoges, France, 87000
- Investigational Site Number: 2500002
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Lorient, France, 56100
- Investigational Site Number: 2500036
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Marseille, France, 13008
- Investigational Site Number: 2500029
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Montpellier, France, 34090
- Investigational Site Number: 2500028
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Nantes, France, 44093
- Investigational Site Number: 2500024
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Nice, France, 06000
- Investigational Site Number: 2500025
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Nice, France, 6300
- Investigational Site Number: 2500020
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Pau, France, 64000
- Investigational Site Number: 2500016
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Poitiers, France, 86000
- Investigational Site Number: 2500042
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Pontoise, France, 95300
- Investigational Site Number: 2500022
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Périgueux, France, 24019
- Investigational Site Number: 2500009
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Romans sur Isère, France, 26102
- Investigational Site Number: 2500014
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Rouen, France, 76031
- Investigational Site Number: 2500008
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Saint Germain en Laye, France, 78100
- Investigational Site Number: 2500015
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Saint Mandé, France, 94163
- Investigational Site Number: 2500027
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Saint Nazaire, France, 44606
- Investigational Site Number: 2500026
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Saint-Pierre, France, 97410
- Investigational Site Number: 2500035
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Saint-Pierre, France, 97448
- Investigational Site Number: 2500013
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Toulouse, France, 31059
- Investigational Site Number: 2500012
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Valence, France, 26000
- Investigational Site Number: 2500010
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Vandoeuvre-lès-Nancy, France, 54500
- Investigational Site Number: 2500031
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Male or female, 6 years or older.
- Initiating treatment with dupilumab for AD according to French-specific prescribing information (≥ 12 years old: moderate to severe AD versus 6-11 years old: severe AD). The decision of initiation of the treatment is independent to the study's participation.
- Able to understand and complete study-related questionnaires.
- Signed informed consent form. For participants <18 years old, Informed consent form signed by the parent/legal guardian and participant's assent obtained.
Exclusion Criteria:
- Patients who have a contraindication to the drug according to the French-specific prescribing information label.
- Any condition that, in the opinion of the Investigator, may interfere with patient's ability to participate in the study, such as short life expectancy, substance abuse, severe cognitive impairment, or other comorbidities that can predictably prevent the patient from adequately completing, as per routine care, the schedule of visits and assessments.
- Patients currently participating in any interventional clinical trial.
- Patients previously treated with dupilumab.
- Patients under tutorship or curatorship; patients under safeguard of justice or deprived of his/her liberty by an administrative or court decision.
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
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Participants with AD treated with dupilumab
Patients ≥6 years of age in whom dupilumab therapy was initiated to treat their AD according to French-specific prescribing information.
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Dupilumab cohort
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Demographic characteristics of participants who receive dupilumab for AD
Time Frame: At baseline
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Including age, gender, educational level, socio-professional category
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At baseline
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Weight characteristics of participants who receive dupilumab for AD
Time Frame: At baseline
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At baseline
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Height characteristics of participants who receive dupilumab for AD
Time Frame: At baseline
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At baseline
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Medical history characteristics of participants who receive dupilumab for AD
Time Frame: At baseline
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including previous treatments for AD, relevant medical history, family history of atopy
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At baseline
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Comorbidities and treatments change from baseline
Time Frame: At baseline, month 3, month 6, month 12, month 18, month 24, month 30, month 36
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At baseline, month 3, month 6, month 12, month 18, month 24, month 30, month 36
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Atopic comorbidities and treatments change from baseline
Time Frame: At baseline, month 3, month 6, month 12, month 18, month 24, month 30, month 36
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At baseline, month 3, month 6, month 12, month 18, month 24, month 30, month 36
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Change from baseline in lifestyle habits of participants who receive dupilumab for AD
Time Frame: At baseline, month 3, month 6, month 12, month 18, month 24, month 30, month 36 if applicable
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Including alcohol, tobacco, CBD and cannabis consumption
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At baseline, month 3, month 6, month 12, month 18, month 24, month 30, month 36 if applicable
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Change from baseline in dupilumab dose
Time Frame: At baseline, month 3, month 6, month 12, month 18, month 24, month 30, month 36
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At baseline, month 3, month 6, month 12, month 18, month 24, month 30, month 36
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Change from baseline in dupilumab administration
Time Frame: At baseline, month 3, month 6, month 12, month 18, month 24, month 30, month 36
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At baseline, month 3, month 6, month 12, month 18, month 24, month 30, month 36
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Change from baseline in dupilumab compliance with treatment
Time Frame: At baseline, month 3, month 6, month 12, month 18, month 24, month 30, month 36
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At baseline, month 3, month 6, month 12, month 18, month 24, month 30, month 36
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Change from baseline in dupilumab temporary or permanent discontinuation
Time Frame: At baseline, month 3, month 6, month 12, month 18, month 24, month 30, month 36
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At baseline, month 3, month 6, month 12, month 18, month 24, month 30, month 36
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Change from baseline in dupilumab treatment switch to another therapy
Time Frame: At baseline, month 3, month 6, month 12, month 18, month 24, month 30, month 36
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At baseline, month 3, month 6, month 12, month 18, month 24, month 30, month 36
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Change from baseline in dupilumab treatment for concomitant AD treatments
Time Frame: At baseline, month 3, month 6, month 12, month 18, month 24, month 30, month 36
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At baseline, month 3, month 6, month 12, month 18, month 24, month 30, month 36
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Change in patient's treatment satisfaction score using the Patient Global Assessment of Treatment Effect (PGATE)
Time Frame: At month 6, month 12, month 18, month 24, month 30, month 36
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PGATE for patients ≥ 12 years of age: an internally developed and validated instrument allowing patients to rate their opinion and perceived treatment effect.
Ratings are on a 5-point Likert scale from 1 being "Poor" and 5 being "Excellent".
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At month 6, month 12, month 18, month 24, month 30, month 36
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Change in eczema severity using the Eczema Area and Severity Index (EASI)
Time Frame: At baseline, month 6, month 12, month 18, month 24, month 30, month 36
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EASI is a validated measure used to assess severity and extent of AD at each body region by multiplying the lesions characteristics score x the body area score x multiplier.
Four AD disease characteristics -erythema, thickness (induration, population, and oedema), scratching (excoriation), and lichenification - will each be assessed for severity by the observing physician, as follows: 0 = none, absent; 1=mild (just perceptible); 2=Moderate (obvious); 3=Severe.
The area score ranges from 0 to 6 is determined as follows: 0= 0% (no active eczema in region); 1= 1-9%; 2= 10-29%; 3= 30-49%; 4= 50-69%; 5= 70-89%; 6= 90-100% (entire region affected by eczema).
The multiplier is determined according to the region affected and the age of the patient: 0.1 or 0.2 for patients < 8 years old (head/neck), 0.2 (upper limbs), 0.3 (trunk), 0.4 or 0.3 for patients < 8 years old (lower limbs).
A higher score means higher AD severity.
Scores range from 0 (no disease) to 72 (maximal disease severity).
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At baseline, month 6, month 12, month 18, month 24, month 30, month 36
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Change in AD disease control using the Atopic Dermatitis Control Tool (ADCT)
Time Frame: At baseline, month 6, month 12, month 18, month 24, month 30, month 36
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ADCT for patients aged ≥ 12 years of age: a validated, brief and easily scored tool consisting of six concise questions allowing to rate the different dimensions of patient-perceived AD control, to foster communication between patients and their physicians and help appropriate decision-making.
The instrument includes 6 items, with a 7-day recall period: overall severity of symptoms, frequency of intense episodes of itching, severity of bother, frequency of sleep impact, severity of daily activities impact and severity of mood or emotions impact.
Each item is rated on a 5-point Likert scale, ranging from 0 (none/ not at all/ no nights) to 4 (very severe/ everyday/ extremely/ every night); the total score ranges from 0 to 24, which is the summation of the responses to all the items.
A total score of ≥7 points was derived as the threshold to identify patients "not in control", based on optimal sensitivity/ specificity values.
The higher the score, the less AD is controlled.
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At baseline, month 6, month 12, month 18, month 24, month 30, month 36
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Change in sleep disturbance NRS
Time Frame: At baseline, month 6, month 12, month 18, month 24, month 30, month 36
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NRS sleep disturbance will be rated from 0 to 10 on average during the past 7 days (adult, pediatric and adolescent patients), completed by the observing physician after questioning of patient; 0 = "sleep not disturbed at all" (best possible sleep) and 10 = "sleep extremely disturbed (worst possible sleep)".
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At baseline, month 6, month 12, month 18, month 24, month 30, month 36
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Change in global patient's disease evaluation using the Patient Global Assessment of Disease Severity (PGADS)
Time Frame: At baseline, month 6, month 12, month 18, month 24, month 30, month 36
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PGADS for patients ≥ 12 years of age: an internally developed and validated instrument allowing to the patients to rate their AD-related overall well-being.
Patients will be asked: "Considering all the ways in which your eczema affects you, how well are you doing?" Response choices will be from 1 being "Poor" to 5 being "Excellent".
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At baseline, month 6, month 12, month 18, month 24, month 30, month 36
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Change in global patient's disease evaluation using the Caregiver Global Assessment of Disease (CGAD)
Time Frame: At baseline, month 6, month 12, month 18, month 24, month 30, month 36
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CGAD for patients 6 to 11 years of age: an internally developed and validated instrument allowing to the caregivers to rate their child's AD-related overall well-being.
Caregivers will be asked: "Considering all the way in which the eczema affects your child, how well is your child doing?".
Response choices will be 1 being "Poor" to 5 being "Excellent".
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At baseline, month 6, month 12, month 18, month 24, month 30, month 36
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Change in Dermatology Life Quality Index (DLQI)
Time Frame: At baseline, month 6, month 12, month 18, month 24, month 30, month 36
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DLQI for patients ≥ 16 years (or cDLQI for patients < 16 at baseline) are 10-item, validated questionnaire used in clinical practice and clinical trials to assess the impact of AD disease symptoms and treatment on quality of life in adults and pediatrics, respectively.
The format is a simple response (0 to 3 where 0 is "not at all" and 3 is "very much") to 10 items, which assess quality of life over the past week, with an overall scoring system of 0 to 30; a high score is indicative of a poor quality of life.
Patients 6-11 years old will be assisted for questionnaire completion.
A cDLQI's cartoon version could be also used for patients from 6 to 11 years old.
If a patient turns 16 years old during the study, they will switch to DLQI.
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At baseline, month 6, month 12, month 18, month 24, month 30, month 36
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Change in Work Productivity and Activity Impairment Questionnaire, Atopic Dermatitis (WPAI-AD)
Time Frame: At month 6, month 12, month 18, month 24, month 30, month 36
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WPAI-AD for adults and WPAI-CIQ-AD for adolescents is a questionnaire designed to assess the impact of AD on the patient's productivity.
The WPAI-AD is the version of the original generic WPAI that is specific to AD.
It is a 6-item, validated questionnaire to measure impairments in work and activities over a 7-day recall period.
The WPAI-AD outcomes are expressed as impairment percentages, with higher numbers indicating greater impairment and less productivity.
If a patient turns 18 years old during the study, this one will switch to WPAI-AD.
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At month 6, month 12, month 18, month 24, month 30, month 36
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Number of Adverse Events (AE)
Time Frame: At baseline, month 3, month 6, month 12, month 18, month 24, month 30, month 36
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AEs for dupilumab and/or concomitant treatments will be collected throughout the study.
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At baseline, month 3, month 6, month 12, month 18, month 24, month 30, month 36
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Change from baseline in Drug Survival
Time Frame: At baseline, month 3, month 6, month 12, month 18, month 24, month 30, month 36
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Drug survival is defined as the time from the start of treatment to the end or discontinuation of treatment with no changes.
If a patient has multiple drug survival events for the same treatment, the longest drug survival will be used in the data summarization.
The drug survival will be illustrated using a Kaplan-Meier plot.
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At baseline, month 3, month 6, month 12, month 18, month 24, month 30, month 36
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Change in itch assessment
Time Frame: At baseline, month 6, month 12, month 18, month 24, month 30, month 36
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Itch assessment (Worst-Itch Numeric Rating Scale, WI-NRS) will be rated from 0 to 10 on average during the past 7 days (adult, pediatric and adolescent patients), completed by the observing physician after questioning of patient; 0 = no itch and 10 = the worst imaginable itch.
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At baseline, month 6, month 12, month 18, month 24, month 30, month 36
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Change in Dermatitis Family Impact Questionnaire (DFI)
Time Frame: At baseline, month 6, month 12, month 18, month 24, month 30, month 36
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DFI is a 10-item, validated questionnaire assessing the impact of AD on the QoL of the parents/legal representatives and family members of affected children.
The format is a simple response (0 to 3 where 0 is "not at all" and 3 is "very much") to 10 items, which assess Quality of Life (QoL) over the past week, with an overall scoring system of 0 to 30; a high score is indicative of a poor QoL.
It is designed to be completed by adults (aged 16 years or over) who have a child (up to and including the age of 15 years 11 months) in the family with atopic dermatitis.
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At baseline, month 6, month 12, month 18, month 24, month 30, month 36
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Change in European Quality of Life-5 Dimensions-3 level score (EQ-5D-3L)
Time Frame: At baseline, month 6, month 12, month 18, month 24, month 30, month 36
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The EQ-5D-3L is completed by patients≥18 years old and by parent/legal representative of patients<18 years old. It consists of 2 parts:
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At baseline, month 6, month 12, month 18, month 24, month 30, month 36
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- OBS17668 (Sanofi Identifier)
- U1111-1279-3469 (Registry Identifier: ICTRP)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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