Trial Outcomes & Findings for Dupilumab for the Treatment of Moderate to Severe Chronic Hepatic Pruritus (NCT NCT04256759)

NCT ID: NCT04256759

Last Updated: 2025-11-21

Results Overview

Pruritus severity is measured using the peak PNRS assessed as a single, self-completed item that assesses the intensity of peak (worst) pruritus during the past 24 hours using the query: "On a scale of 0 to 10, with 0 being 'no itch 'and 10 being 'worst itch imaginable', how would you rate your itch at the worst moment during the previous 24 hours?". Measured before and after treatment. Scores range from 0 to 10 with higher scores indicating a worse outcome.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

9 participants

Primary outcome timeframe

Baseline; 20 weeks

Results posted on

2025-11-21

Participant Flow

Participant milestones

Participant milestones
Measure
Dupilumab
Subcutaneous (SC) dupilumab selected for this study was 300 mg every 2 weeks for 18 weeks. Dupilumab 300Mg Solution for Injection: Subcutaneous (SC) dupilumab selected for this study was 300 mg every 2 weeks for 18 weeks.
Overall Study
STARTED
9
Overall Study
COMPLETED
7
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Dupilumab
Subcutaneous (SC) dupilumab selected for this study was 300 mg every 2 weeks for 18 weeks. Dupilumab 300Mg Solution for Injection: Subcutaneous (SC) dupilumab selected for this study was 300 mg every 2 weeks for 18 weeks.
Overall Study
Physician Decision
1
Overall Study
Lack of Efficacy
1

Baseline Characteristics

Dupilumab for the Treatment of Moderate to Severe Chronic Hepatic Pruritus

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dupilumab
n=9 Participants
Subcutaneous (SC) dupilumab selected for this study was 300 mg every 2 weeks for 18 weeks. Dupilumab 300Mg Solution for Injection: Subcutaneous (SC) dupilumab selected for this study was 300 mg every 2 weeks for 18 weeks.
Age, Continuous
56.2 years
STANDARD_DEVIATION 14.3 • n=39 Participants
Sex: Female, Male
Female
6 Participants
n=39 Participants
Sex: Female, Male
Male
3 Participants
n=39 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=39 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants
n=39 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=39 Participants
Race (NIH/OMB)
Asian
0 Participants
n=39 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=39 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=39 Participants
Race (NIH/OMB)
White
8 Participants
n=39 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=39 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
Region of Enrollment
United States
9 participants
n=39 Participants

PRIMARY outcome

Timeframe: Baseline; 20 weeks

Pruritus severity is measured using the peak PNRS assessed as a single, self-completed item that assesses the intensity of peak (worst) pruritus during the past 24 hours using the query: "On a scale of 0 to 10, with 0 being 'no itch 'and 10 being 'worst itch imaginable', how would you rate your itch at the worst moment during the previous 24 hours?". Measured before and after treatment. Scores range from 0 to 10 with higher scores indicating a worse outcome.

Outcome measures

Outcome measures
Measure
Dupilumab
n=9 Participants
Subcutaneous (SC) dupilumab selected for this study was 300 mg every 2 weeks for 18 weeks. Dupilumab 300Mg Solution for Injection: Subcutaneous (SC) dupilumab selected for this study was 300 mg every 2 weeks for 18 weeks.
Change in Peak Pruritus Numerical Rating Score (PRNS)
-3.1 score on a scale
Standard Deviation 3.9

SECONDARY outcome

Timeframe: Baseline; week 6,12,18

Pruritus severity is measured using the peak PNRS assessed as a single, self-completed item that assesses the intensity of peak (worst) pruritus during the past 24 hours using the query: "On a scale of 0 to 10, with 0 being 'no itch 'and 10 being 'worst itch imaginable', how would you rate your itch at the worst moment during the previous 24 hours?". Scores range from 0 to 10 with higher scores indicating a worse outcome.

Outcome measures

Outcome measures
Measure
Dupilumab
n=9 Participants
Subcutaneous (SC) dupilumab selected for this study was 300 mg every 2 weeks for 18 weeks. Dupilumab 300Mg Solution for Injection: Subcutaneous (SC) dupilumab selected for this study was 300 mg every 2 weeks for 18 weeks.
Change in Weekly Average Peak Pruritus Numerical Rating Score (PRNS) ≥3 From Baseline
Week 6
-3.2 score on a scale
Standard Deviation 3.6
Change in Weekly Average Peak Pruritus Numerical Rating Score (PRNS) ≥3 From Baseline
Week 12
-3.5 score on a scale
Standard Deviation 3.9
Change in Weekly Average Peak Pruritus Numerical Rating Score (PRNS) ≥3 From Baseline
Week 18
-4.1 score on a scale
Standard Deviation 4.4

SECONDARY outcome

Timeframe: Baseline; week 12,18

The number of subjects who rated their intensity of pruritus as 0=none, 1=mild, 2-moderate, 3=severe. The verbal rating scale measures the intensity of pruritus. Subjects are asked to rate their pruritus intensity as 0=none; 1= mild; 2=moderate; and 3=severe/intense. Scores range from 0 to 3, with higher scores indicating a worse outcome.

Outcome measures

Outcome measures
Measure
Dupilumab
n=9 Participants
Subcutaneous (SC) dupilumab selected for this study was 300 mg every 2 weeks for 18 weeks. Dupilumab 300Mg Solution for Injection: Subcutaneous (SC) dupilumab selected for this study was 300 mg every 2 weeks for 18 weeks.
Verbal Rating Scale (VRS) Score
Week 18-Severe
0 Participants
Verbal Rating Scale (VRS) Score
Baseline-None
0 Participants
Verbal Rating Scale (VRS) Score
Baseline-Mild
0 Participants
Verbal Rating Scale (VRS) Score
Baseline-Moderate
4 Participants
Verbal Rating Scale (VRS) Score
Baseline-Severe
5 Participants
Verbal Rating Scale (VRS) Score
Week 12-None
1 Participants
Verbal Rating Scale (VRS) Score
Week 12-Mild
4 Participants
Verbal Rating Scale (VRS) Score
Week 12-Moderate
3 Participants
Verbal Rating Scale (VRS) Score
Week 12-Severe
0 Participants
Verbal Rating Scale (VRS) Score
Week 18-None
2 Participants
Verbal Rating Scale (VRS) Score
Week 18-Mild
4 Participants
Verbal Rating Scale (VRS) Score
Week 18-Moderate
2 Participants

SECONDARY outcome

Timeframe: Baseline; 18 Weeks

This is a validated 29 question quality life instrument for patients with chronic liver disease evaluating systemic symptoms, fatigue, physical activity, emotional function, and worry. Subjects are asked to respond to each question using the following scale: 6=all of the time; 5=most of the time; 4=a good bit of the time; 3=some of the time; 2=a little of the time; 1=hardly any of the time; and 0=none of the time. Total scores range from 0 to 174 with lower scores indicating better health-related quality of life.

Outcome measures

Outcome measures
Measure
Dupilumab
n=9 Participants
Subcutaneous (SC) dupilumab selected for this study was 300 mg every 2 weeks for 18 weeks. Dupilumab 300Mg Solution for Injection: Subcutaneous (SC) dupilumab selected for this study was 300 mg every 2 weeks for 18 weeks.
Change in Chronic Liver Disease Questionnaire (CLDQ) Score
25.7 score on a scale
Standard Deviation 38.7

SECONDARY outcome

Timeframe: Baseline; 18 Weeks

This is a multidimensional questionnaire designed to assess the degree, duration, direction, disability and distribution of pruritus longitudinally with scoring ranging from 5=no pruritus/well-controlled to 25=severe pruritus/poorly controlled, with higher scores indicating a worse outcome.

Outcome measures

Outcome measures
Measure
Dupilumab
n=9 Participants
Subcutaneous (SC) dupilumab selected for this study was 300 mg every 2 weeks for 18 weeks. Dupilumab 300Mg Solution for Injection: Subcutaneous (SC) dupilumab selected for this study was 300 mg every 2 weeks for 18 weeks.
Change in 5D Pruritus Score
-7.3 score on a scale
Standard Deviation 4.6

Adverse Events

Dupilumab

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Jason Sluzevich, M.D.

Mayo Clinic

Phone: 904-953-6192

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place