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HEADS UP was a Phase 3b, randomized, active-controlled, double-dummy trial of adult patients with moderate to severe AD. Patients were randomized 1:1 to RINVOQ 30 mg once daily + placebo subcutaneous every 2 weeks for dupilumab or dupilumab 300 mg subcutaneous every 2 weeks + placebo once daily for RINVOQ.4
*12-week follow-up. †Patients randomized to the dupilumab 300 mg SC Q2W group received the starting dose of 600 mg at the baseline visit.4
AD: atopic dermatitis; EASI: Eczema Activity and Severity Index; Q2W: every two weeks; QD: once daily; SC: subcutaneous; vIGA-AD 0/1: validated Investigator's Global Assessment for atopic dermatitis.
Key inclusion criteria4
– 18 to 75 years with chronic ADa
– AD symptoms ≥3 years
– ≥10% BSA, EASI ≥16, and IGA ≥3
– BL weekly average of daily Worst Pruritus NRS ≥4
– Inadequate response to TCS or TCIb within 6 months prior to BL
Key exclusion criteria4
– Topical treatments within 7 days prior to BLc
– Systemic therapy for AD or phototherapyd or traditional Chinese medicinee or any investigational drugf within 4 weeks prior to BL
– Prior exposure to dupilumab or systemic JAK inhibitors
aDiagnosis of AD according to the Hanifin and Rajka criteria (≥3 of 4 major features and ≥3 of 23 minor features); bor for patients for whom topical treatments were otherwise medically inadvisable; cexception of topical emollients; dlaser therapy, tanning booth, or extended sun exposure that could affect disease severity or interfere with disease assessments; eOral or parenteral; fwithin 4 weeks or five half lives of the drug (whichever is longer) or is currently enrolled in another clinical study.
AD: atopic dermatitis; BL: baseline; BSA: body surface area; EASI: eczema activity and severity index; IGA: investigator’s global assessment; JAK: Janus kinase; NRS: Numerical Rating Scale; TCI: topical calcineurin inhibitor; TCS: topical corticosteroids.
REFERENCES
- RINVOQ® (upadacitinib) Summary of Product Characteristics. AbbVie Deutschland GmbH & Co. KG: June 2022.
- Guttman-Yassky E, Teixeira H, Simpson E, et al. Once-daily upadacitinib versus placebo in adolescents and adults with moderate-to-severe atopic dermatitis (Measure Up 1 and Measure Up 2): results from two replicate double-blind, randomised controlled phase 3 trials. Lancet. 2021; 397(10290): 2151–2168.
- Reich K, Teixeira HD, Bruin-Weller, et al. Safety and efficacy of upadacitinib in combination with topical corticosteroids in adolescents and adults with moderate-to-severe atopic dermatitis (AD Up): results from a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet. 2021; 397(10290): 2169–2181.
- Blauvelt A, Teixeira HD, Simpson EL, et al. Efficacy and Safety of Upadacitinib vs Dupilumab in Adults With Moderate-to-Severe Atopic Dermatitis: A Randomized Clinical Trial. JAMA Dermatol. 2021;157(9):1047–1055.