Long-Term Safety Evaluation of Dupilumab in Patients With Asthma (LIBERTY ASTHMA TRAVERSE)

Sponsor
Sanofi (Industry)
Overall Status
Completed
CT.gov ID
NCT02134028
Collaborator
Regeneron Pharmaceuticals (Industry)
2,282
365
1
62.2
6.3
0.1

Study Details

Study Description

Brief Summary

Primary Objective:

To evaluate the long-term safety and tolerability of dupilumab in participants with asthma who participated in a previous dupilumab asthma study (DRI12544, PDY14192, EFC13579, EFC13691).

Secondary Objectives:

To evaluate the long-term efficacy of dupilumab in participants with asthma who participated in a previous dupilumab asthma clinical study.

To evaluate dupilumab in participants with asthma who participated in a previous dupilumab asthma clinical study, with regards to:

  • Systemic exposure

  • Anti-drug antibodies

  • Biomarkers

Condition or Disease Intervention/Treatment Phase
Phase 3

Detailed Description

A screening period, up to 3 weeks, applied only for participants who came from DRI12544 study. The total study duration, per participant, was a maximum of 108 weeks (or 111 weeks considering a maximum screening period of 3 weeks for study DRI12544) for the participants enrolled prior to Amendment 04 approval and a maximum of 60 weeks for the participants enrolled after Amendment 04 approval.

Following amendment 04 (dated 31 Oct 2016) the open-label treatment duration was amended to 48 weeks (1 year); and the 16-week post-treatment period was shortened to 12 weeks.

Study Design

Study Type:
Interventional
Actual Enrollment :
2282 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Open-label Extension Study to Evaluate the Long-term Safety and Tolerability of Dupilumab in Patients With Asthma Who Participated in a Previous Dupilumab Asthma Clinical Study
Actual Study Start Date :
Aug 5, 2014
Actual Primary Completion Date :
Oct 11, 2019
Actual Study Completion Date :
Oct 11, 2019

Arms and Interventions

Arm Intervention/Treatment
Experimental: dupilumab treatment

For participants coming from the DRI12544 study: dupilumab loading dose subcutaneous (SC) on Day 1, followed by 1* Dose every 2 weeks added to current controller medications. For participants coming from other studies: dupilumab 1 * Dose SC every 2 weeks added to current controller medications.

Drug: Dupilumab
Pharmaceutical form: Solution for injection Routes of administration: Subcutaneous
Other Names:
  • SAR231893
  • REGN668
  • Outcome Measures

    Primary Outcome Measures

    1. Number of Participants With Treatment-Emergent Adverse Events (TEAEs) [From the first IMP injection in LTS12551 to the last IMP injection plus 14 weeks (up to 108 weeks)]

      An Adverse Event (AE) was any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which did not necessarily had to have causal relationship with treatment. TEAEs were defined as AEs that developed, worsened, or became serious during the treatment emergent AE period (time from first dose of investigational medicinal product [IMP] in LTS12551 up to the last dose of dupilumab plus 14 weeks). A Serious AE (SAE) was any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event.

    Secondary Outcome Measures

    1. Number of Participants With Potentially Clinically Significant Vital Signs Abnormalities During the TEAE Period [From the first IMP injection in LTS12551 to the last IMP injection plus 14 weeks (up to 108 weeks)]

      Criteria for potentially clinically significant vital sign abnormalities: Systolic blood pressure (SBP): Less than or equal to (≤) 95 Adults (≤90 Adolescents) millimeters of mercury (mmHg) and decrease from baseline (DFB) greater than or equal to (≥) 20 mmHg; ≥ 160 Adults (≥ 119 Adolescents) mmHg and increase from baseline (IFB) ≥ 20 mmHg. Diastolic blood pressure (DBP): ≤ 45 Adults (≤54 Adolescents) mmHg and DFB ≥ 10 mmHg; ≥ 110 Adults (≥78 Adolescents) mmHg and IFB ≥ 10 mmHg. Heart rate (HR): ≤ 50 beats per minute (bpm) and DFB ≥ 20 bpm; ≥ 120 bpm and IFB ≥ 20 bpm. Respiratory rate: less than (<) 12 breaths/min(b/m); greater than (>) 20 b/m. Weight (kg): ≥ 5 percent (%) DFB; ≥ 5% IFB. Temperature: ≥ 38.0 degree Celsius (°C) rectal/ear/temporal; ≥ 37.5°C oral; ≥ 37.2°C axillary. TEAE period was defined as the time from first dose of IMP in LTS12551 up to the last dose of dupilumab plus 14 weeks.

    2. Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Hematological Parameters (Red Blood Cells [RBCs], Platelets and Coagulation) During the TEAE Period [From the first IMP injection in LTS12551 to the last IMP injection plus 14 weeks (up to 108 weeks)]

      Criteria for potentially clinically significant abnormalities: Hemoglobin (Hb): ≤ 115 grams per liter (g/L)(Male [M]), ≤ 95 g/L (Female[ F]) (< 100 g/L Adolescents); ≥ 185 g/L (M), ≥ 165 g/L (F) (≥ 200 g/L Adolescents); DFB ≥ 20 g/L. Hematocrit: ≤ 0.37 volume/volume (v/v) (M); ≤ 0.32 v/v (F) (<0.32 v/v Adolescents); ≥ 0.55 v/v (M); 0.5 v/v (F) (>0.47 v/v Adolescents). RBCs: ≥ 6 Tera/L. Platelets: < 100 Giga(G)/L; ≥ 700 G/L. TEAE period was defined as the time from first dose of IMP in LTS12551 up to the last dose of dupilumab plus 14 weeks.

    3. Number of Severe Exacerbation Events [From the first IMP injection in LTS12551 to the last IMP injection plus 2 weeks (up to 96 weeks)]

      Severe asthma exacerbation events were defined as a deterioration of asthma which required: use of systemic corticosteroids for ≥ 3 days, (participants from study EFC13691 (NCT02528214), and who were taking systemic corticosteroids: the use of systemic corticosteroids at least double the current dose and for ≥3 days.) or, hospitalization or emergency room visit because of asthma, required systemic corticosteroids.

    4. Annualized Event Rate Per Participant-Years for Severe Exacerbation [From the first IMP injection in LTS12551 to the last IMP injection plus 2 weeks (up to 96 weeks)]

      The annualized event rate per participant-years was defined as the total number of events that occurred during the treatment period divided by the total number of participant-years during the treatment period.

    5. Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) at Weeks 48 and 96 [Baseline of parent study, Week 48 and Week 96 of this extension study]

      FEV1 was the volume of air exhaled from the lungs in the first second of a forced expiration as measured by spirometer. For this analysis, baseline was defined as respective parent study baseline.

    6. Change From Baseline in Percent Predicted FEV1 at Weeks 48 and 96 [Baseline of parent study, Week 48 and Week 96 of this extension study]

      FEV1 was the volume of air exhaled from the lungs in the first second of a forced expiration as measured by spirometer. For this analysis, baseline was defined as respective parent study baseline.

    7. Change From Baseline in Forced Vital Capacity (FVC) at Weeks 48 and 96 [Baseline of parent study, Week 48, and Week 96 of this extension study]

      FVC was a standard pulmonary function test used to quantify respiratory muscle weakness. FVC was the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in liters. For this analysis, baseline was defined as respective parent study baseline.

    8. Change From Baseline in Forced Expiratory Flow (FEF) 25-75% at Weeks 48 and 96 [Baseline of parent study, Week 48, and Week 96 of this extension study]

      FEF was the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. FEF 25-75% was defined as the mean FEF between 25% and 75% of the FVC, where FVC was defined as the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in liters. For this analysis, baseline was defined as respective parent study baseline.

    9. Change From Baseline in Asthma Control Questionnaire 5-Question Version (ACQ-5) Mean Scores at Weeks 24 and 48 [Baseline of parent study, Weeks 24, and 48 of this extension study]

      The ACQ-5 had 5 questions, reflecting the top-scoring five asthma symptoms: woken at night by symptoms, wake in the mornings with symptoms, limitation of daily activities, shortness of breath and wheeze. Participants were asked to recall how their asthma had been during the previous week and to respond to each of the five symptom questions on a 7-point scale ranged from 0 (no impairment) to 6 (maximum impairment). ACQ-5 total mean score was mean of the scores of all 5 questions and, therefore, ranged from 0 (totally controlled) to 6 (severely uncontrolled), higher scores indicated lower asthma control. For this analysis, baseline was defined as respective parent study baseline.

    10. Percentage of Participants Achieving ACQ-5 Score Response (ACQ-5 Responders) at Weeks 24 and 48 [At Weeks 24, and 48 of this extension study]

      ACQ-5 response was defined as change from baseline in ACQ-5 scores ≥ 0.5. The ACQ-5 had 5 questions, reflecting the top-scoring five asthma symptoms: woken at night by symptoms, wake in the mornings with symptoms, limitation of daily activities, shortness of breath and wheeze. Participants were asked to recall how their asthma had been during the previous week and to respond to each of the five symptom questions on a 7-point scale ranged from 0 (no impairment) to 6 (maximum impairment). ACQ-5 mean total score was mean of the scores of all 5 questions and, therefore, ranged from 0 (totally controlled) to 6 (severely uncontrolled). Higher score indicated lower asthma control.

    11. Change From Baseline in Asthma Quality of Life Questionnaire (AQLQ) Global Scores at Weeks 24 and 48 [Baseline of parent study, Weeks 24, and 48 of this extension study]

      The AQLQ was designed to measure the functional impairments that are most troublesome to adults as a result of their asthma. The AQLQ comprised of 32 items in 4 domains: symptoms (12 items), activity limitation (11 items), emotional function (5 items), and environmental stimuli (4 items). Each item was scored on a 7-point likert scale ranged from 1=severely impaired to 7=not impaired. The 32 items of the questionnaire were averaged to produce one overall quality of life score ranging from 1 (severely impaired) to 7 (not impaired); higher scores indicated better quality of life. For this analysis, baseline was defined as respective parent study baseline.

    12. Percentage of Participants Achieving AQLQ Global Score Response (AQLQ Responders) at Weeks 24 and 48 [At Weeks 24, and 48 of this extension study]

      AQLQ global response was defined as participants with change from baseline in AQLQ global score ≥ 0.5. The AQLQ was designed to measure the functional impairments that are most troublesome to adults as a result of their asthma. The AQLQ comprised of 32 items in 4 domains: symptoms (12 items), activity limitation (11 items), emotional function (5 items), environmental stimuli (4 items). Each item was scored on a 7-point likert scale (1=severely impaired, 7=not impaired). The 32 items of the questionnaire are averaged to produce one overall quality of life score ranging from 1 (severely impaired) to 7 (not impaired). Higher scores indicated better quality of life.

    13. Serum Concentrations of Dupilumab Over Time Till Week 96 [Baseline of parent study, Weeks 0, 4, 12, 24, 48, 72, and 96 of this extension study]

      For this analysis, baseline was defined as respective parent study baseline. Here, 'number analyzed'=number of participants with available data for each specified category.

    14. Percentage of Participants With Antidrug Antibodies (ADA) Response [From the first IMP injection in LTS12551 to the last IMP injection plus 2 weeks (up to 96 weeks)]

      ADA response were categorized as: treatment emergent and treatment boosted response. 1) Treatment emergent was defined as an ADA positive response in the assay post first dose in LTS12551, when baseline results were negative or missing. 2) Treatment boosted was defined as: an ADA positive response in the assay post first dose that was greater-than or equal to 4-fold over baseline titer levels, when baseline results were positive. The criteria for positive was defined as "30 to > 10,000", where low titer (< 1,000); moderate (1,000 ≤ titer ≤ 10,000) and high titer (> 10,000).

    15. Change From Baseline in Blood Eosinophils Cells Count at Weeks 48 and 96 [Baseline of parent study, Week 48 and Week 96 of this extension study]

      For this analysis, baseline was defined as respective parent study baseline.

    16. Change From Baseline in Morning Peak Expiratory Flow (PEF) at Weeks 48 and 96: Participants From Study DRI12544 [Baseline of parent study, Week 48 and Week 96 of this extension study]

      The PEF was a participant's maximum speed of expiration, as measured with a peak flow meter. Peak flow testing for PEF was performed at morning and evening. Morning PEF was performed within 15 minutes after arising (between 5:30 AM and 10 AM) prior to taking any salbutamol/albuterol or levosalbutamol/levalbuterol. For this analysis, baseline was defined as parent study DRI12544 baseline.

    17. Change From Baseline in Evening Peak Expiratory Flow (PEF) at Weeks 48 and 96: Participants From Study DRI12544 [Baseline of parent study, Week 48 and Week 96 of this extension study]

      The PEF was a participant's maximum speed of expiration, as measured with a peak flow meter. Peak flow testing for PEF was performed at morning and evening. Evening PEF was performed in the evening (between 5:30 PM and 10 PM) prior to taking any salbutamol/albuterol or levosalbutamol/levalbuterol. For this analysis, baseline was defined as parent DRI12544 study baseline.

    18. Change From Baseline in Morning Asthma Symptom Scores at Weeks 48 and 96: Participants From Study DRI12544 [Baseline of parent study, Week 48 and Week 96 of this extension study]

      Morning asthma symptom score was determined using AM (ante meridiem) symptom scoring system which evaluated participant's overall asthma symptoms experienced during the night. It ranges from 0 to 4 as: 0=no asthma symptoms, slept through the night, 1=slept well, but some complaints in the morning. No nighttime awakenings, 2=woke up once because of asthma (including early awakening), 3=woke up several times because of asthma (including early awakening), 4=bad night, awake most of the night because of asthma; higher scores indicated more severe symptoms. For this analysis, baseline was defined as parent DRI12544 study baseline.

    19. Change From Baseline in Evening Asthma Symptom Scores at Weeks 48 and 96: Participants From Study DRI12544 [Baseline of parent study, Week 48, and Week 96 of this extension study]

      Evening asthma symptom score was determined using PM (post meridiem) symptom scoring system which evaluated participant's overall asthma symptoms experienced during the day. It ranged from 0 to 4 as: 0=very well, no asthma symptoms, 1=one episode of wheezing, cough, or breathlessness, 2=more than one episode of wheezing, cough, or breathlessness without interference of normal activities, 3=wheezing, cough, or breathlessness most of the day, which interfered to some extent with normal activities, 4=asthma very bad, unable to carry out daily activities as usual; higher scores indicated more severe symptoms. For this analysis, baseline was defined as parent DRI12544 study baseline.

    20. Change From Baseline in Number of Inhalations Per Day of Salbutamol/Albuterol or Levosalbutamol/Levalbuterol for Symptom Relief at Weeks 48 and 96: Participants From Study DRI12544 [Baseline of parent study, Week 48, and Week 96 of this extension study]

      The number of salbutamol/albuterol or levosalbutamol/levalbuterol inhalations was recorded daily by the participants in an electronic diary/PEF meter. Mean number of inhalations in last 7 days prior to each visit was calculated and was used in computation of data reported. For this analysis, baseline was defined as parent DRI12544 study baseline.

    21. Change From Baseline in Number of Nocturnal Awakenings at Weeks 48 and 96: Participants From Study DRI12544 [Baseline of parent study, Week 48 and Week 96 of this extension study]

      The number of nocturnal awakening because of asthma symptoms were recorded every morning by the participants in an electronic diary. Mean number of awakenings in last 7 days prior to each visit was calculated and was used in computation of data reported. For this analysis, baseline was defined as parent DRI12544 study baseline.

    22. Percent Change From Baseline in Oral Corticosteroid (OCS) Dose at Weeks 48, and 96: Participants From Study EFC13691 [Baseline of parent study, Weeks 48 and 96 of this extension study]

      OCS was allowed as background controller medication for the participants from study EFC13691 only. For this analysis, baseline was defined as parent study EFC13691 baseline.

    23. Percentage of Participants Achieving a Reduction of 50% or Greater (≥ 50% ) in OCS Dose Over Time at Weeks 48 and 96: Participants From Study EFC13691 [Weeks 48 and 96 of this extension study]

      OCS was allowed as background controller medication for the participants from study EFC13691 only. Percentage of participants who achieved a reduction of ≥ 50% in OCS dose were reported.

    24. Percentage of Participants With Background OCS Completely Tapered Off Over Time at Weeks 48 and 96: Participants From Study EFC13691 [Weeks 48, and 96 of this extension study]

      OCS was allowed as background controller medication for the participants from study EFC13691 only. Number of participants who gradually discontinued or reduced therapeutic dose were reported in this outcome measure.

    25. Change From Baseline in European-Quality of Life-5 Dimension Instrument-3 Levels (EQ-5D-3L) Index Scores at Weeks 48 and 96: Participants From Study DRI12544 [Baseline of parent study, Week 48 and Week 96 of this extension study]

      EQ-5D-3L: validated and reliable self-report health status questionnaire consisted of EQ-5D descriptive system and visual analogue scale (VAS). EQ-5D descriptive system comprises 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension measured on 3 levels: no problem, some problems, and severe problems. The 5 dimensional 3-level systems was converted into single index utility score, and the score was 0 - 100, where 100=best health state; and 0=worst health state; where higher scores indicated better outcome. For this analysis, baseline was defined as parent DRI12544 study baseline.

    26. Change From Baseline in EQ-5D-3L VAS Scores at Weeks 48 and 96: Participants From Study DRI12544 [Baseline of parent study, Week 48 and Week 96 of this extension study]

      EQ-5D VAS was used to record a participant's rating for his/her current health-related quality of life state and captured on a vertical VAS (0-100), where 0=worst imaginable health state and 100=best imaginable health state, where higher states indicated better outcomes. For this analysis, baseline was defined as parent DRI12544 study baseline.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    12 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion criteria:
    • Participants with asthma who completed the treatment period in a previous dupilumab asthma clinical study (i.e., PDY14192, EFC13579 or EFC13691) or participants with asthma who completed the treatment and follow-up periods in previous dupilumab asthma Study DRI12544.
    Exclusion criteria:
    • Participants who experienced any hypersensitivity reactions to Investigational Medicinal Product (IMP) in the previous dupilumab asthma study, which, in the opinion of the Investigator, could indicate that continued treatment with dupilumab, may present an unreasonable risk for the participant.

    The above information was not intended to contain all considerations relevant to a Participant's potential participation in a clinical trial.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Investigational Site Number 840047 Birmingham Alabama United States 35209
    2 Investigational Site Number 840099 Gilbert Arizona United States 85234
    3 Investigational Site Number 840087 Scottsdale Arizona United States 85251
    4 Investigational Site Number 840402 Tucson Arizona United States 85724
    5 Investigational Site Number 840132 Little Rock Arkansas United States 72209
    6 Investigational Site Number 840109 Bakersfield California United States 93301
    7 Investigational Site Number 840045 Long Beach California United States 90720
    8 Investigational Site Number 840019 Los Angeles California United States 90025
    9 Investigational Site Number 840029 Los Angeles California United States 90025
    10 Investigational Site Number 840022 Los Angeles California United States 90048
    11 Investigational Site Number 840044 Newport Beach California United States 92663
    12 Investigational Site Number 840041 North Hollywood California United States 91606
    13 Investigational Site Number 840014 Rolling Hills Estates California United States 90274
    14 Investigational Site Number 840121 San Jose California United States 95117
    15 Investigational Site Number 840040 Colorado Springs Colorado United States 80907
    16 Investigational Site Number 840403 Denver Colorado United States 80206
    17 Investigational Site Number 840006 Denver Colorado United States 80230
    18 Investigational Site Number 840024 Denver Colorado United States 80230
    19 Investigational Site Number 840130 Denver Colorado United States 80246
    20 Investigational Site Number 840902 New Haven Connecticut United States 06510
    21 Investigational Site Number 840137 Aventura Florida United States 33180
    22 Investigational Site Number 840071 Gainesville Florida United States 32607
    23 Investigational Site Number 840115 Ocoee Florida United States 34761
    24 Investigational Site Number 840055 Sarasota Florida United States 34239
    25 Investigational Site Number 840079 Twin Falls Idaho United States 83301
    26 Investigational Site Number 840101 Chicago Illinois United States 60611
    27 Investigational Site Number 840032 Fort Mitchell Kentucky United States 41017
    28 Investigational Site Number 840017 Louisville Kentucky United States 40223-5440
    29 Investigational Site Number 840030 Owensboro Kentucky United States 42301
    30 Investigational Site Number 840064 Bangor Maine United States 04401
    31 Investigational Site Number 840052 Chevy Chase Maryland United States 20815
    32 Investigational Site Number 840073 Gaithersburg Maryland United States 20878
    33 Investigational Site Number 840080 Owings Mills Maryland United States 21117
    34 Investigational Site Number 840401 Boston Massachusetts United States 02115
    35 Investigational Site Number 840018 Minneapolis Minnesota United States 55402
    36 Investigational Site Number 840002 Saint Louis Missouri United States 63110
    37 Investigational Site Number 840102 Saint Louis Missouri United States 63141
    38 Investigational Site Number 840093 Saint Louis Missouri United States
    39 Investigational Site Number 840037 Missoula Montana United States 59808
    40 Investigational Site Number 840078 Omaha Nebraska United States 68124
    41 Investigational Site Number 840004 Papillion Nebraska United States 27103
    42 Investigational Site Number 840111 Brick New Jersey United States 08723
    43 Investigational Site Number 840068 Ocean City New Jersey United States 07712
    44 Investigational Site Number 840011 Princeton New Jersey United States 08540
    45 Investigational Site Number 840065 New York New York United States 10029
    46 Investigational Site Number 840126 Charlotte North Carolina United States 28226
    47 Investigational Site Number 840083 Charlotte North Carolina United States 28277
    48 Investigational Site Number 840108 Durham North Carolina United States 27705
    49 Investigational Site Number 840107 Greensboro North Carolina United States 27401
    50 Investigational Site Number 840907 High Point North Carolina United States 27262
    51 Investigational Site Number 840404 Winston-Salem North Carolina United States 27157-1071
    52 Investigational Site Number 840015 Cincinnati Ohio United States 45236
    53 Investigational Site Number 840146 Cincinnati Ohio United States 45241
    54 Investigational Site Number 840049 Middleburg Heights Ohio United States 44130
    55 Investigational Site Number 840942 Toledo Ohio United States 43617
    56 Investigational Site Number 840112 Edmond Oklahoma United States 73034
    57 Investigational Site Number 840104 Tulsa Oklahoma United States 74136
    58 Investigational Site Number 840034 Medford Oregon United States 97504
    59 Investigational Site Number 840031 Portland Oregon United States 97223
    60 Investigational Site Number 840046 Bethlehem Pennsylvania United States 18020
    61 Investigational Site Number 840085 Hershey Pennsylvania United States 17033
    62 Investigational Site Number 840067 Philadelphia Pennsylvania United States 19140
    63 Investigational Site Number 840928 Pittsburgh Pennsylvania United States 15213
    64 Investigational Site Number 840091 Pittsburgh Pennsylvania United States 15241
    65 Investigational Site Number 840082 Charleston South Carolina United States 29407
    66 Investigational Site Number 840117 Greenville South Carolina United States 29607
    67 Investigational Site Number 840021 Spartanburg South Carolina United States 29303
    68 Investigational Site Number 840062 Amarillo Texas United States 79106
    69 Investigational Site Number 840038 Boerne Texas United States 78006
    70 Investigational Site Number 840124 Cypress Texas United States 77429
    71 Investigational Site Number 840023 Dallas Texas United States 75231
    72 Investigational Site Number 840923 El Paso Texas United States 79903
    73 Investigational Site Number 840922 Fort Worth Texas United States 76109
    74 Investigational Site Number 840027 Fort Worth Texas United States 76244
    75 Investigational Site Number 840070 McKinney Texas United States 75069
    76 Investigational Site Number 840118 Plano Texas United States 75093
    77 Investigational Site Number 840008 San Antonio Texas United States 78229
    78 Investigational Site Number 840035 Draper Utah United States 84020
    79 Investigational Site Number 840077 Murray Utah United States 84107
    80 Investigational Site Number 840057 South Burlington Vermont United States 05403
    81 Investigational Site Number 840059 Fairfax Virginia United States 22030
    82 Investigational Site Number 840951 Bellingham Washington United States 98225
    83 Investigational Site Number 032096 Bahia Blanca Argentina B8000JRB
    84 Investigational Site Number 032004 Buenos Aires Argentina B6500BWQ
    85 Investigational Site Number 032003 Buenos Aires Argentina C1121ABE
    86 Investigational Site Number 032011 Caba Argentina 1120
    87 Investigational Site Number 032097 Caba Argentina C1414AIF
    88 Investigational Site Number 032001 Caba Argentina C1425BEN
    89 Investigational Site Number 032010 Caba Argentina C1425FVH
    90 Investigational Site Number 032091 Caba Argentina C1426ABP
    91 Investigational Site Number 032095 Capital Federal Argentina C1425DUC
    92 Investigational Site Number 032002 La Plata Argentina B1900BNN
    93 Investigational Site Number 032006 Rosario Argentina S2000BRH
    94 Investigational Site Number 032007 Rosario Argentina S2000DBS
    95 Investigational Site Number 032005 Rosario Argentina S2000JKR
    96 Investigational Site Number 032012 San Miguel De Tucuman Argentina T4000CHE
    97 Investigational Site Number 032009 San Miguel De Tucumán Argentina T4000IAR
    98 Investigational Site Number 036004 Adelaide Australia 5000
    99 Investigational Site Number 036005 Campbelltown Australia 2560
    100 Investigational Site Number 036001 Clayton Australia 3168
    101 Investigational Site Number 036008 Frankston Australia 3199
    102 Investigational Site Number 036093 Murdoch Australia 6150
    103 Investigational Site Number 036003 Nedlands Australia 6009
    104 Investigational Site Number 036094 Parkville Australia 3050
    105 Investigational Site Number 036009 Prahran Australia 3004
    106 Investigational Site Number 036006 Woolloongabba Australia 4102
    107 Investigational Site Number 056002 Brussels Belgium 1020
    108 Investigational Site Number 056003 Gent Belgium 9000
    109 Investigational Site Number 056001 Leuven Belgium 3000
    110 Investigational Site Number 076009 Florianópolis Brazil 88040-970
    111 Investigational Site Number 076007 Porto Alegre Brazil 90020-090
    112 Investigational Site Number 076001 Porto Alegre Brazil 90610-000
    113 Investigational Site Number 076003 Salvador Brazil 41940-455
    114 Investigational Site Number 076012 Sao Paulo Brazil 04266-010
    115 Investigational Site Number 076002 Sorocaba Brazil 18040-425
    116 Investigational Site Number 076013 São Bernardo Do Campo Brazil 09715-090
    117 Investigational Site Number 076006 São Paulo Brazil 05437-000
    118 Investigational Site Number 124019 Burlington Canada L7N 3V2
    119 Investigational Site Number 124009 Calgary Canada T2N 4Z6
    120 Investigational Site Number 124016 Hamilton Canada L8N 4A6
    121 Investigational Site Number 124003 Mississauga Canada L5A 3V4
    122 Investigational Site Number 124001 Montreal Canada H2X 3E4
    123 Investigational Site Number 124012 Montreal Canada H4A 3J1
    124 Investigational Site Number 124010 Montreal Canada H4J 1C5
    125 Investigational Site Number 124013 Ottawa Canada K1G 6C6
    126 Investigational Site Number 124018 Quebec Canada G1V 4G5
    127 Investigational Site Number 124014 Quebec Canada G1V 4W2
    128 Investigational Site Number 124008 Sherbrooke Canada J1H 5N4
    129 Investigational Site Number 124015 Toronto Canada M5G 1E2
    130 Investigational Site Number 124002 Toronto Canada M5T 3A9
    131 Investigational Site Number 124007 Trois-Rivieres Canada G8T 7A1
    132 Investigational Site Number 124006 Vancouver Canada V5Z 1M9
    133 Investigational Site Number 124017 Vancouver Canada V6Z 1Y6
    134 Investigational Site Number 152007 Quillota Chile 2260877
    135 Investigational Site Number 152024 Santiago Chile 7500588
    136 Investigational Site Number 152005 Santiago Chile 7500692
    137 Investigational Site Number 152014 Santiago Chile 7500698
    138 Investigational Site Number 152011 Santiago Chile 7500710
    139 Investigational Site Number 152018 Santiago Chile 8207257
    140 Investigational Site Number 152002 Santiago Chile 8380456
    141 Investigational Site Number 152013 Santiago Chile 8910131
    142 Investigational Site Number 152023 Talcahuano Chile
    143 Investigational Site Number 152008 Talca Chile 3460001
    144 Investigational Site Number 152004 Talca Chile
    145 Investigational Site Number 152010 Valdivia Chile 5090145
    146 Investigational Site Number 152003 Viña Del Mar Chile 2520024
    147 Investigational Site Number 152021 Viña Del Mar Chile 2520594
    148 Investigational Site Number 170001 Bogota Colombia 110121
    149 Investigational Site Number 170002 Bogotá Colombia 110231
    150 Investigational Site Number 208002 Hvidovre Denmark 2650
    151 Investigational Site Number 208001 København Nv Denmark 2400
    152 Investigational Site Number 250009 Brest France 29609
    153 Investigational Site Number 250004 La Tronche France 38700
    154 Investigational Site Number 250010 Lille Cedex France 59037
    155 Investigational Site Number 250013 Lille Cedex France 59037
    156 Investigational Site Number 250006 Lyon France 69317
    157 Investigational Site Number 250001 Marseille France 13015
    158 Investigational Site Number 250002 Montpellier France 34295
    159 Investigational Site Number 250005 Nantes France 44033
    160 Investigational Site Number 250007 Nimes Cedex 9 France 30029
    161 Investigational Site Number 250008 Strasbourg France 67091
    162 Investigational Site Number 250014 Vandoeuvre-Les-Nancy Cedex France 54511
    163 Investigational Site Number 276006 Berlin Germany 10787
    164 Investigational Site Number 276003 Bochum Germany 44789
    165 Investigational Site Number 276010 Frankfurt Am Main Germany 60596
    166 Investigational Site Number 276011 Großhansdorf Germany 22927
    167 Investigational Site Number 276009 Koblenz Germany 56068
    168 Investigational Site Number 276005 Rüdersdorf Bei Berlin Germany 15562
    169 Investigational Site Number 348301 Balassagyarmat Hungary 2660
    170 Investigational Site Number 348303 Edelény Hungary 3780
    171 Investigational Site Number 348003 Gödöllö Hungary 2100
    172 Investigational Site Number 376003 Haifa Israel 34362
    173 Investigational Site Number 376001 Kfar Saba Israel 44281
    174 Investigational Site Number 376005 Petah-Tikva Israel 49100
    175 Investigational Site Number 376002 Rehovot Israel 76100
    176 Investigational Site Number 380010 Ancona Italy 60126
    177 Investigational Site Number 380009 Catania Italy 95123
    178 Investigational Site Number 380004 Ferrara Italy 44124
    179 Investigational Site Number 380008 Foggia Italy 71100
    180 Investigational Site Number 380002 Genova Italy 16132
    181 Investigational Site Number 380003 Modena Italy 41124
    182 Investigational Site Number 380007 Padova Italy 35128
    183 Investigational Site Number 380099 Palermo Italy 90146
    184 Investigational Site Number 380001 Pisa Italy 56100
    185 Investigational Site Number 392185 Akashi-Shi Japan
    186 Investigational Site Number 392009 Asahi-Shi Japan
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    188 Investigational Site Number 392002 Chuo-Ku Japan
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    210 Investigational Site Number 392036 Kyoto-Shi Japan
    211 Investigational Site Number 392153 Kyoto-Shi Japan
    212 Investigational Site Number 392133 Machida-Shi Japan
    213 Investigational Site Number 392135 Matsuyama-Shi Japan
    214 Investigational Site Number 392122 Minato-Ku Japan
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    217 Investigational Site Number 392164 Muroran-Shi Japan
    218 Investigational Site Number 392163 Nagoya-Shi Japan
    219 Investigational Site Number 392020 Naka-Gun Japan
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    221 Investigational Site Number 392187 Obihiro-Shi Japan
    222 Investigational Site Number 392177 Ome-Shi Japan
    223 Investigational Site Number 392152 Osaka Sayama-Shi Japan
    224 Investigational Site Number 392155 Osaka Sayama-Shi Japan
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    226 Investigational Site Number 392127 Ota-Ku Japan
    227 Investigational Site Number 392043 Ota-Shi Japan
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    240 Investigational Site Number 392173 Tachikawa-Shi Japan
    241 Investigational Site Number 392006 Tomakomai-Shi Japan
    242 Investigational Site Number 392029 Tsu-Shi Japan
    243 Investigational Site Number 392168 Uozu-Shi Japan
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    245 Investigational Site Number 392045 Uruma-Shi Japan
    246 Investigational Site Number 392014 Yokohama-Shi Japan
    247 Investigational Site Number 410002 Bucheon-Si Korea, Republic of 14584
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    249 Investigational Site Number 410013 Incheon Korea, Republic of 21565
    250 Investigational Site Number 410006 Seoul Korea, Republic of 03080
    251 Investigational Site Number 410008 Seoul Korea, Republic of 03312
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    253 Investigational Site Number 410012 Seoul Korea, Republic of 04763
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    257 Investigational Site Number 410011 Seoul Korea, Republic of 08308
    258 Investigational Site Number 410001 Suwon Korea, Republic of 16499
    259 Investigational Site Number 484013 Chihuahua Mexico 31020
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    261 Investigational Site Number 484014 Cuautitlan Izcalli Mexico 54769
    262 Investigational Site Number 484005 Distrito Federal Mexico 07760
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    270 Investigational Site Number 484011 Veracruz Mexico 91910
    271 Investigational Site Number 528001 Arnhem Netherlands 6815 AD
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    273 Investigational Site Number 616006 Bialystok Poland 15-010
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    283 Investigational Site Number 616008 Warszawa Poland 00-013
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    285 Investigational Site Number 616011 Znin Poland 88-400
    286 Investigational Site Number 642104 Bucharest Romania 011461
    287 Investigational Site Number 642103 Bucharest Romania 050159
    288 Investigational Site Number 642102 Cluj-Napoca Romania 400162
    289 Investigational Site Number 642107 Cluj-Napoca Romania 400371
    290 Investigational Site Number 642105 Timisoara Romania 300310
    291 Investigational Site Number 642106 Timisoara Romania 300310
    292 Investigational Site Number 643013 Ekaterinburg Russian Federation 620028
    293 Investigational Site Number 643096 Moscow Russian Federation 105077
    294 Investigational Site Number 643002 Moscow Russian Federation 109240
    295 Investigational Site Number 643005 Moscow Russian Federation 115280
    296 Investigational Site Number 643007 Moscow Russian Federation 117574
    297 Investigational Site Number 643012 Moscow Russian Federation 123182
    298 Investigational Site Number 643001 Moscow Russian Federation 125315
    299 Investigational Site Number 643006 Novosibirsk Russian Federation 630091
    300 Investigational Site Number 643091 Ryazan Russian Federation 390039
    301 Investigational Site Number 643011 Saint-Petersburg Russian Federation 194223
    302 Investigational Site Number 643010 Saint-Petersburg Russian Federation 194354
    303 Investigational Site Number 643099 St-Petersburg Russian Federation 193231
    304 Investigational Site Number 643009 St-Petersburg Russian Federation 197022
    305 Investigational Site Number 643008 Yaroslavl Russian Federation 150003
    306 Investigational Site Number 710009 Brandfort South Africa 9400
    307 Investigational Site Number 710011 Cape Town South Africa 7505
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    309 Investigational Site Number 710091 Cape Town South Africa 7700
    310 Investigational Site Number 710092 Cape Town South Africa 7700
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    312 Investigational Site Number 710003 Cape Town South Africa 8000
    313 Investigational Site Number 710006 Durban South Africa 4071
    314 Investigational Site Number 710007 Pretoria South Africa 0087
    315 Investigational Site Number 724014 Barcelona Spain 08023
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    317 Investigational Site Number 724001 Barcelona Spain 08036
    318 Investigational Site Number 724010 Palma De Mallorca Spain 07120
    319 Investigational Site Number 724006 Pozuelo De Alarcón Spain 28223
    320 Investigational Site Number 724003 Sabadell Spain 08208
    321 Investigational Site Number 724007 Sant Boi De Llobregat Spain 08830
    322 Investigational Site Number 724096 Santiago De Compostela Spain 15706
    323 Investigational Site Number 724008 Sevilla Spain 41071
    324 Investigational Site Number 724097 Valencia Spain 46017
    325 Investigational Site Number 158008 New Taipei City Taiwan 23561
    326 Investigational Site Number 158007 Taichung Taiwan 40447
    327 Investigational Site Number 158009 Taipei Taiwan 11031
    328 Investigational Site Number 792002 Ankara Turkey 06100
    329 Investigational Site Number 792098 Ankara Turkey 06100
    330 Investigational Site Number 792008 Bursa Turkey 16059
    331 Investigational Site Number 792007 Istanbul Turkey 34020
    332 Investigational Site Number 792001 Istanbul Turkey 34098
    333 Investigational Site Number 792004 Istanbul Turkey 34098
    334 Investigational Site Number 792003 Istanbul Turkey 34844
    335 Investigational Site Number 792005 Izmir Turkey 35040
    336 Investigational Site Number 792090 Izmir Turkey 35110
    337 Investigational Site Number 792013 Kirikkale Turkey 71450
    338 Investigational Site Number 792006 Mersin Turkey 33070
    339 Investigational Site Number 792096 Rize Turkey 53100
    340 Investigational Site Number 804007 Chernivtsi Ukraine 58001
    341 Investigational Site Number 804023 Dnipro Ukraine 49101
    342 Investigational Site Number 804009 Ivano-Frankivsk Ukraine 76018
    343 Investigational Site Number 804094 Ivano-Frankivsk Ukraine 76018
    344 Investigational Site Number 804005 Kharkiv Ukraine 61058
    345 Investigational Site Number 804021 Kharkiv Ukraine 61093
    346 Investigational Site Number 804001 Kharkiv Ukraine 61124
    347 Investigational Site Number 804004 Kyiv Ukraine 03049
    348 Investigational Site Number 804003 Kyiv Ukraine 03680
    349 Investigational Site Number 804008 Kyiv Ukraine 03680
    350 Investigational Site Number 804017 Kyiv Ukraine 03680
    351 Investigational Site Number 804018 Kyiv Ukraine 03680
    352 Investigational Site Number 804020 Kyiv Ukraine 03680
    353 Investigational Site Number 804016 Kyiv Ukraine 04050
    354 Investigational Site Number 804006 Odesa Ukraine 65025
    355 Investigational Site Number 804002 Poltava Ukraine 36038
    356 Investigational Site Number 804014 Ternopil Ukraine 46000
    357 Investigational Site Number 804019 Vinnytsya Ukraine 21001
    358 Investigational Site Number 804015 Yalta Ukraine 298603
    359 Investigational Site Number 804022 Zaporizhzhya Ukraine 69076
    360 Investigational Site Number 804012 Zaporizhzhya Ukraine 69118
    361 Investigational Site Number 826001 Bradford United Kingdom BD9 6RJ
    362 Investigational Site Number 826010 London United Kingdom W2 1NY
    363 Investigational Site Number 826009 Oxford United Kingdom OX3 7LE
    364 Investigational Site Number 826007 Portsmouth United Kingdom PO6 3LY
    365 Investigational Site Number 826006 South Shields United Kingdom NE34 0PL

    Sponsors and Collaborators

    • Sanofi
    • Regeneron Pharmaceuticals

    Investigators

    • Study Director: Clinical Sciences & Operations, Sanofi

    Study Documents (Full-Text)

    More Information

    Publications

    None provided.
    Responsible Party:
    Sanofi
    ClinicalTrials.gov Identifier:
    NCT02134028
    Other Study ID Numbers:
    • LTS12551
    • 2013-003856-19
    • U1111-1117-6745
    First Posted:
    May 8, 2014
    Last Update Posted:
    Mar 28, 2022
    Last Verified:
    Mar 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details Study was initiated at 365 sites in 27 countries. Participants who successfully completed treatment in studies DRI12544 (NCT01854047),EFC13579 (NCT02414854),EFC13691 (NCT02528214) and PDY14192 (NCT02573233) were eligible to continue their treatment in this extension study LTS12551. Total of 2282 participants were enrolled and treated in this study.
    Pre-assignment Detail The Total study duration was maximum of 108 weeks for participants enrolled prior to amendment 4 approval and a maximum of 60 weeks for participants enrolled after amendment 4. Following amendment 4 (dated 31 Oct 2016) open-label treatment duration was amended to 48 weeks (1 year); and the 16-week post-treatment period was shortened to 12 weeks.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab Participants From EFC13579: Placebo/Dupilumab Participants From EFC13579: Dupilumab/Dupilumab Participants From EFC13691: Placebo/Dupilumab Participants From EFC13691: Dupilumab/Dupilumab Participants From PDY14192: Placebo/Dupilumab Participants From PDY14192: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 milligram (mg) on Day 1 followed by a subcutaneous (SC) dose of dupilumab 300 mg every 2 weeks (q2w) for 96 weeks in combination with inhaled corticosteroid (ICS) therapy/long-acting beta-agonist (LABA) therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment for dupilumab in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with oral corticosteroids (OCS) and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study PDY14192 received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study PDY14192, received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Period Title: Overall Study
    STARTED 111 421 517 1013 97 90 19 14
    COMPLETED 102 379 465 908 83 76 15 11
    NOT COMPLETED 9 42 52 105 14 14 4 3

    Baseline Characteristics

    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab Participants From EFC13579: Placebo/Dupilumab Participants From EFC13579: Dupilumab/Dupilumab Participants From EFC13691: Placebo/Dupilumab Participants From EFC13691: Dupilumab/Dupilumab Participants From PDY14192: Placebo/Dupilumab Participants From PDY14192: Dupilumab/Dupilumab Total
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment for dupilumab in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study PDY14192 received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study PDY14192, received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Total of all reporting groups
    Overall Participants 111 421 517 1013 97 90 19 14 2282
    Age, Customized (Count of Participants)
    <18 years
    0
    0%
    0
    0%
    32
    6.2%
    55
    5.4%
    1
    1%
    1
    1.1%
    0
    0%
    0
    0%
    89
    3.9%
    18-64 years
    101
    91%
    374
    88.8%
    422
    81.6%
    826
    81.5%
    81
    83.5%
    80
    88.9%
    19
    100%
    14
    100%
    1917
    84%
    65-74 years
    8
    7.2%
    40
    9.5%
    59
    11.4%
    112
    11.1%
    14
    14.4%
    8
    8.9%
    0
    0%
    0
    0%
    241
    10.6%
    75-84 years
    2
    1.8%
    7
    1.7%
    4
    0.8%
    20
    2%
    1
    1%
    1
    1.1%
    0
    0%
    0
    0%
    35
    1.5%
    ≥85 years
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Sex: Female, Male (Count of Participants)
    Female
    69
    62.2%
    259
    61.5%
    335
    64.8%
    618
    61%
    57
    58.8%
    53
    58.9%
    7
    36.8%
    10
    71.4%
    1408
    61.7%
    Male
    42
    37.8%
    162
    38.5%
    182
    35.2%
    395
    39%
    40
    41.2%
    37
    41.1%
    12
    63.2%
    4
    28.6%
    874
    38.3%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    2
    2.1%
    0
    0%
    0
    0%
    0
    0%
    2
    0.1%
    Asian
    18
    16.2%
    70
    16.6%
    51
    9.9%
    116
    11.5%
    1
    1%
    0
    0%
    0
    0%
    1
    7.1%
    257
    11.3%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    1
    0.2%
    0
    0%
    1
    0.1%
    0
    0%
    1
    1.1%
    0
    0%
    0
    0%
    3
    0.1%
    Black or African American
    1
    0.9%
    8
    1.9%
    17
    3.3%
    43
    4.2%
    1
    1%
    2
    2.2%
    2
    10.5%
    1
    7.1%
    75
    3.3%
    White
    88
    79.3%
    339
    80.5%
    445
    86.1%
    844
    83.3%
    91
    93.8%
    86
    95.6%
    17
    89.5%
    12
    85.7%
    1922
    84.2%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    4
    3.6%
    3
    0.7%
    4
    0.8%
    9
    0.9%
    2
    2.1%
    1
    1.1%
    0
    0%
    0
    0%
    23
    1%

    Outcome Measures

    1. Primary Outcome
    Title Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
    Description An Adverse Event (AE) was any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which did not necessarily had to have causal relationship with treatment. TEAEs were defined as AEs that developed, worsened, or became serious during the treatment emergent AE period (time from first dose of investigational medicinal product [IMP] in LTS12551 up to the last dose of dupilumab plus 14 weeks). A Serious AE (SAE) was any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event.
    Time Frame From the first IMP injection in LTS12551 to the last IMP injection plus 14 weeks (up to 108 weeks)

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population which included participants who actually received at least 1 dose or part of a dose of the IMP in LTS12551 study.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab Participants From EFC13579: Placebo/Dupilumab Participants From EFC13579: Dupilumab/Dupilumab Participants From EFC13691: Placebo/Dupilumab Participants From EFC13691: Dupilumab/Dupilumab Participants From PDY14192: Placebo/Dupilumab Participants From PDY14192: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment for dupilumab in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study PDY14192 received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study PDY14192, received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421 517 1013 97 90 19 14
    Any TEAE
    88
    79.3%
    369
    87.6%
    414
    80.1%
    789
    77.9%
    74
    76.3%
    70
    77.8%
    18
    94.7%
    13
    92.9%
    Any treatment emergent SAE
    14
    12.6%
    42
    10%
    48
    9.3%
    106
    10.5%
    12
    12.4%
    10
    11.1%
    0
    0%
    4
    28.6%
    Any TEAE leading to death
    0
    0%
    3
    0.7%
    0
    0%
    1
    0.1%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Any TEAE leading to permanent discontinuation
    3
    2.7%
    19
    4.5%
    12
    2.3%
    31
    3.1%
    4
    4.1%
    5
    5.6%
    1
    5.3%
    2
    14.3%
    2. Secondary Outcome
    Title Number of Participants With Potentially Clinically Significant Vital Signs Abnormalities During the TEAE Period
    Description Criteria for potentially clinically significant vital sign abnormalities: Systolic blood pressure (SBP): Less than or equal to (≤) 95 Adults (≤90 Adolescents) millimeters of mercury (mmHg) and decrease from baseline (DFB) greater than or equal to (≥) 20 mmHg; ≥ 160 Adults (≥ 119 Adolescents) mmHg and increase from baseline (IFB) ≥ 20 mmHg. Diastolic blood pressure (DBP): ≤ 45 Adults (≤54 Adolescents) mmHg and DFB ≥ 10 mmHg; ≥ 110 Adults (≥78 Adolescents) mmHg and IFB ≥ 10 mmHg. Heart rate (HR): ≤ 50 beats per minute (bpm) and DFB ≥ 20 bpm; ≥ 120 bpm and IFB ≥ 20 bpm. Respiratory rate: less than (<) 12 breaths/min(b/m); greater than (>) 20 b/m. Weight (kg): ≥ 5 percent (%) DFB; ≥ 5% IFB. Temperature: ≥ 38.0 degree Celsius (°C) rectal/ear/temporal; ≥ 37.5°C oral; ≥ 37.2°C axillary. TEAE period was defined as the time from first dose of IMP in LTS12551 up to the last dose of dupilumab plus 14 weeks.
    Time Frame From the first IMP injection in LTS12551 to the last IMP injection plus 14 weeks (up to 108 weeks)

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population. Here, 'number analyzed' = number of participants with available data for each specified category.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab Participants From EFC13579: Placebo/Dupilumab Participants From EFC13579: Dupilumab/Dupilumab Participants From EFC13691: Placebo/Dupilumab Participants From EFC13691: Dupilumab/Dupilumab Participants From PDY14192: Placebo/Dupilumab Participants From PDY14192: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment for dupilumab in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study PDY14192 received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study PDY14192, received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421 517 1013 97 90 19 14
    SBP: ≤ 95 (≤90) & DFB ≥ 20 mmHg
    4
    3.6%
    12
    2.9%
    19
    3.7%
    40
    3.9%
    0
    0%
    1
    1.1%
    2
    10.5%
    0
    0%
    SBP: ≥ 160 (≥119) & IFB ≥ 20 mmHg
    2
    1.8%
    17
    4%
    21
    4.1%
    45
    4.4%
    6
    6.2%
    1
    1.1%
    1
    5.3%
    3
    21.4%
    DBP: ≤ 45 (≤54) & DFB ≥ 10 mmHg
    1
    0.9%
    1
    0.2%
    11
    2.1%
    15
    1.5%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    DBP: ≥ 110 (≥78) & IFB ≥ 10 mmHg
    0
    0%
    4
    1%
    15
    2.9%
    20
    2%
    2
    2.1%
    0
    0%
    0
    0%
    0
    0%
    HR: ≤ 50 & DFB ≥ 20 bpm
    0
    0%
    3
    0.7%
    2
    0.4%
    12
    1.2%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    HR: ≥ 120 & IFB ≥ 20 bpm
    0
    0%
    0
    0%
    2
    0.4%
    5
    0.5%
    1
    1%
    0
    0%
    0
    0%
    0
    0%
    Respiratory rate: < 12 b/m
    5
    4.5%
    17
    4%
    18
    3.5%
    24
    2.4%
    4
    4.1%
    0
    0%
    2
    10.5%
    3
    21.4%
    Respiratory rate: > 20 b/m
    23
    20.7%
    104
    24.7%
    88
    17%
    195
    19.2%
    18
    18.6%
    12
    13.3%
    4
    21.1%
    0
    0%
    Weight: ≥ 5% DFB
    32
    28.8%
    106
    25.2%
    146
    28.2%
    261
    25.8%
    22
    22.7%
    29
    32.2%
    3
    15.8%
    3
    21.4%
    Weight: ≥ 5% IFB
    45
    40.5%
    181
    43%
    189
    36.6%
    378
    37.3%
    29
    29.9%
    37
    41.1%
    8
    42.1%
    5
    35.7%
    Temperature: ≥ 38.0°C
    0
    0%
    0
    0%
    1
    0.2%
    1
    0.1%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Temperature: ≥ 37.5°C
    1
    0.9%
    0
    0%
    9
    1.7%
    6
    0.6%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Temperature: ≥ 37.2°C
    3
    2.7%
    21
    5%
    4
    0.8%
    16
    1.6%
    0
    0%
    1
    1.1%
    0
    0%
    0
    0%
    3. Secondary Outcome
    Title Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Hematological Parameters (Red Blood Cells [RBCs], Platelets and Coagulation) During the TEAE Period
    Description Criteria for potentially clinically significant abnormalities: Hemoglobin (Hb): ≤ 115 grams per liter (g/L)(Male [M]), ≤ 95 g/L (Female[ F]) (< 100 g/L Adolescents); ≥ 185 g/L (M), ≥ 165 g/L (F) (≥ 200 g/L Adolescents); DFB ≥ 20 g/L. Hematocrit: ≤ 0.37 volume/volume (v/v) (M); ≤ 0.32 v/v (F) (<0.32 v/v Adolescents); ≥ 0.55 v/v (M); 0.5 v/v (F) (>0.47 v/v Adolescents). RBCs: ≥ 6 Tera/L. Platelets: < 100 Giga(G)/L; ≥ 700 G/L. TEAE period was defined as the time from first dose of IMP in LTS12551 up to the last dose of dupilumab plus 14 weeks.
    Time Frame From the first IMP injection in LTS12551 to the last IMP injection plus 14 weeks (up to 108 weeks)

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population. Here, 'number analyzed' = number of participants with available data for each specified category.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab Participants From EFC13579: Placebo/Dupilumab Participants From EFC13579: Dupilumab/Dupilumab Participants From EFC13691: Placebo/Dupilumab Participants From EFC13691: Dupilumab/Dupilumab Participants From PDY14192: Placebo/Dupilumab Participants From PDY14192: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment for dupilumab in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study PDY14192 received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study PDY14192, received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421 517 1013 97 90 19 14
    Hb: ≤ 115 g/L, ≤ 95 g/L (< 100 g/L)
    2
    1.8%
    7
    1.7%
    12
    2.3%
    29
    2.9%
    0
    0%
    3
    3.3%
    0
    0%
    0
    0%
    Hb: ≥ 185 g/L, ≥ 165 g/L(≥ 200 g/L)
    1
    0.9%
    3
    0.7%
    8
    1.5%
    4
    0.4%
    2
    2.1%
    1
    1.1%
    0
    0%
    0
    0%
    Hb: DFB ≥ 20 g/L
    13
    11.7%
    41
    9.7%
    40
    7.7%
    118
    11.6%
    11
    11.3%
    7
    7.8%
    0
    0%
    0
    0%
    Hematocrit: ≤ 0.37 v/v; ≤ 0.32 v/v(<0.32 v/v)
    6
    5.4%
    19
    4.5%
    23
    4.4%
    47
    4.6%
    3
    3.1%
    5
    5.6%
    0
    0%
    0
    0%
    Hematocrit: ≥ 0.55 v/v; ≥ 0.5 v/v(>0.47 v/v)
    3
    2.7%
    6
    1.4%
    26
    5%
    36
    3.6%
    3
    3.1%
    3
    3.3%
    0
    0%
    0
    0%
    RBCs: ≥ 6 Tera/L
    1
    0.9%
    5
    1.2%
    8
    1.5%
    15
    1.5%
    0
    0%
    2
    2.2%
    0
    0%
    1
    7.1%
    Platelets: < 100G/ L
    0
    0%
    2
    0.5%
    2
    0.4%
    1
    0.1%
    1
    1%
    0
    0%
    0
    0%
    1
    7.1%
    Platelets: ≥ 700 G/L
    0
    0%
    1
    0.2%
    1
    0.2%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    4. Secondary Outcome
    Title Number of Severe Exacerbation Events
    Description Severe asthma exacerbation events were defined as a deterioration of asthma which required: use of systemic corticosteroids for ≥ 3 days, (participants from study EFC13691 (NCT02528214), and who were taking systemic corticosteroids: the use of systemic corticosteroids at least double the current dose and for ≥3 days.) or, hospitalization or emergency room visit because of asthma, required systemic corticosteroids.
    Time Frame From the first IMP injection in LTS12551 to the last IMP injection plus 2 weeks (up to 96 weeks)

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab Participants From EFC13579: Placebo/Dupilumab Participants From EFC13579: Dupilumab/Dupilumab Participants From EFC13691: Placebo/Dupilumab Participants From EFC13691: Dupilumab/Dupilumab Participants From PDY14192: Placebo/Dupilumab Participants From PDY14192: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment for dupilumab in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study PDY14192 received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study PDY14192, received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421 517 1013 97 90 19 14
    Number [number of events]
    62
    242
    234
    437
    35
    41
    3
    1
    5. Secondary Outcome
    Title Annualized Event Rate Per Participant-Years for Severe Exacerbation
    Description The annualized event rate per participant-years was defined as the total number of events that occurred during the treatment period divided by the total number of participant-years during the treatment period.
    Time Frame From the first IMP injection in LTS12551 to the last IMP injection plus 2 weeks (up to 96 weeks)

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab Participants From EFC13579: Placebo/Dupilumab Participants From EFC13579: Dupilumab/Dupilumab Participants From EFC13691: Placebo/Dupilumab Participants From EFC13691: Dupilumab/Dupilumab Participants From PDY14192: Placebo/Dupilumab Participants From PDY14192: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment for dupilumab in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study PDY14192 received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study PDY14192, received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421 517 1013 97 90 19 14
    Number [exacerbation per participant-years]
    0.314
    0.330
    0.351
    0.331
    0.302
    0.391
    0.149
    0.077
    6. Secondary Outcome
    Title Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) at Weeks 48 and 96
    Description FEV1 was the volume of air exhaled from the lungs in the first second of a forced expiration as measured by spirometer. For this analysis, baseline was defined as respective parent study baseline.
    Time Frame Baseline of parent study, Week 48 and Week 96 of this extension study

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population. Here, 'number analyzed' = number of participants with available data for each specified category.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab Participants From EFC13579: Placebo/Dupilumab Participants From EFC13579: Dupilumab/Dupilumab Participants From EFC13691: Placebo/Dupilumab Participants From EFC13691: Dupilumab/Dupilumab Participants From PDY14192: Placebo/Dupilumab Participants From PDY14192: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment for dupilumab in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study PDY14192 received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study PDY14192, received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421 517 1013 97 90 19 14
    Week 48
    0.24
    (0.42)
    0.28
    (0.45)
    0.34
    (0.44)
    0.36
    (0.53)
    0.31
    (0.50)
    0.33
    (0.53)
    0.23
    (0.40)
    0.01
    (0.21)
    Week 96
    0.22
    (0.44)
    0.27
    (0.46)
    0.33
    (0.44)
    0.31
    (0.47)
    0.36
    (0.66)
    0.25
    (0.46)
    0.14
    (0.41)
    0.01
    (0.12)
    7. Secondary Outcome
    Title Change From Baseline in Percent Predicted FEV1 at Weeks 48 and 96
    Description FEV1 was the volume of air exhaled from the lungs in the first second of a forced expiration as measured by spirometer. For this analysis, baseline was defined as respective parent study baseline.
    Time Frame Baseline of parent study, Week 48 and Week 96 of this extension study

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population. Here, 'number analyzed' = number of participants with available data for each specified category.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab Participants From EFC13579: Placebo/Dupilumab Participants From EFC13579: Dupilumab/Dupilumab Participants From EFC13691: Placebo/Dupilumab Participants From EFC13691: Dupilumab/Dupilumab Participants From PDY14192: Placebo/Dupilumab Participants From PDY14192: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment for dupilumab in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study PDY14192 received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study PDY14192, received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421 517 1013 97 90 19 14
    Week 48
    9.21
    (13.61)
    10.42
    (14.61)
    11.74
    (14.27)
    12.16
    (16.58)
    10.45
    (15.03)
    12.41
    (18.27)
    5.88
    (10.06)
    1.36
    (8.35)
    Week 96
    8.86
    (14.47)
    10.68
    (15.10)
    12.53
    (14.50)
    11.25
    (14.55)
    13.06
    (19.57)
    10.00
    (15.79)
    4.20
    (9.60)
    2.00
    (2.83)
    8. Secondary Outcome
    Title Change From Baseline in Forced Vital Capacity (FVC) at Weeks 48 and 96
    Description FVC was a standard pulmonary function test used to quantify respiratory muscle weakness. FVC was the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in liters. For this analysis, baseline was defined as respective parent study baseline.
    Time Frame Baseline of parent study, Week 48, and Week 96 of this extension study

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population. Here, 'number analyzed' = number of participants with available data for each specified category.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab Participants From EFC13579: Placebo/Dupilumab Participants From EFC13579: Dupilumab/Dupilumab Participants From EFC13691: Placebo/Dupilumab Participants From EFC13691: Dupilumab/Dupilumab Participants From PDY14192: Placebo/Dupilumab Participants From PDY14192: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment for dupilumab in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study PDY14192 received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study PDY14192, received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421 517 1013 97 90 19 14
    Week 48
    0.22
    (0.45)
    0.25
    (0.50)
    0.30
    (0.48)
    0.35
    (0.60)
    0.29
    (0.56)
    0.38
    (0.56)
    0.21
    (0.42)
    0.05
    (0.30)
    Week 96
    0.16
    (0.47)
    0.22
    (0.52)
    0.27
    (0.48)
    0.25
    (0.50)
    0.38
    (0.82)
    0.22
    (0.42)
    0.08
    (0.29)
    0.05
    (0.40)
    9. Secondary Outcome
    Title Change From Baseline in Forced Expiratory Flow (FEF) 25-75% at Weeks 48 and 96
    Description FEF was the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. FEF 25-75% was defined as the mean FEF between 25% and 75% of the FVC, where FVC was defined as the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in liters. For this analysis, baseline was defined as respective parent study baseline.
    Time Frame Baseline of parent study, Week 48, and Week 96 of this extension study

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population. Here, 'number analyzed' = number of participants with available data for each specified category.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab Participants From EFC13579: Placebo/Dupilumab Participants From EFC13579: Dupilumab/Dupilumab Participants From EFC13691: Placebo/Dupilumab Participants From EFC13691: Dupilumab/Dupilumab Participants From PDY14192: Placebo/Dupilumab Participants From PDY14192: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment for dupilumab in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study PDY14192 received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study PDY14192, received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421 517 1013 97 90 19 14
    Week 48
    0.27
    (0.55)
    0.31
    (0.55)
    0.39
    (0.57)
    0.39
    (0.66)
    0.34
    (0.56)
    0.29
    (0.66)
    0.23
    (0.44)
    0.04
    (0.26)
    Week 96
    0.28
    (0.57)
    0.32
    (0.55)
    0.38
    (0.53)
    0.36
    (0.61)
    0.42
    (0.64)
    0.27
    (0.53)
    0.19
    (0.41)
    0.04
    (0.14)
    10. Secondary Outcome
    Title Change From Baseline in Asthma Control Questionnaire 5-Question Version (ACQ-5) Mean Scores at Weeks 24 and 48
    Description The ACQ-5 had 5 questions, reflecting the top-scoring five asthma symptoms: woken at night by symptoms, wake in the mornings with symptoms, limitation of daily activities, shortness of breath and wheeze. Participants were asked to recall how their asthma had been during the previous week and to respond to each of the five symptom questions on a 7-point scale ranged from 0 (no impairment) to 6 (maximum impairment). ACQ-5 total mean score was mean of the scores of all 5 questions and, therefore, ranged from 0 (totally controlled) to 6 (severely uncontrolled), higher scores indicated lower asthma control. For this analysis, baseline was defined as respective parent study baseline.
    Time Frame Baseline of parent study, Weeks 24, and 48 of this extension study

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population. Here, 'number analyzed' = number of participants with available data for each specified category.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab Participants From EFC13579: Placebo/Dupilumab Participants From EFC13579: Dupilumab/Dupilumab Participants From EFC13691: Placebo/Dupilumab Participants From EFC13691: Dupilumab/Dupilumab Participants From PDY14192: Placebo/Dupilumab Participants From PDY14192: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment for dupilumab in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study PDY14192 received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study PDY14192, received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421 517 1013 97 90 19 14
    Week 24
    -1.37
    (0.91)
    -1.48
    (1.10)
    -1.61
    (1.08)
    -1.68
    (1.05)
    -1.09
    (1.10)
    -1.15
    (1.17)
    -0.96
    (1.03)
    -0.80
    (0.46)
    Week 48
    -1.33
    (1.07)
    -1.57
    (1.11)
    -1.64
    (1.08)
    -1.69
    (1.08)
    -1.21
    (1.00)
    -1.06
    (1.25)
    -0.89
    (1.02)
    -0.87
    (0.58)
    11. Secondary Outcome
    Title Percentage of Participants Achieving ACQ-5 Score Response (ACQ-5 Responders) at Weeks 24 and 48
    Description ACQ-5 response was defined as change from baseline in ACQ-5 scores ≥ 0.5. The ACQ-5 had 5 questions, reflecting the top-scoring five asthma symptoms: woken at night by symptoms, wake in the mornings with symptoms, limitation of daily activities, shortness of breath and wheeze. Participants were asked to recall how their asthma had been during the previous week and to respond to each of the five symptom questions on a 7-point scale ranged from 0 (no impairment) to 6 (maximum impairment). ACQ-5 mean total score was mean of the scores of all 5 questions and, therefore, ranged from 0 (totally controlled) to 6 (severely uncontrolled). Higher score indicated lower asthma control.
    Time Frame At Weeks 24, and 48 of this extension study

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population. Here, 'number analyzed' = number of participants with available data for each specified category.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab Participants From EFC13579: Placebo/Dupilumab Participants From EFC13579: Dupilumab/Dupilumab Participants From EFC13691: Placebo/Dupilumab Participants From EFC13691: Dupilumab/Dupilumab Participants From PDY14192: Placebo/Dupilumab Participants From PDY14192: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment for dupilumab in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study PDY14192 received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study PDY14192, received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421 517 1013 97 90 19 14
    Week 24
    82.7
    74.5%
    80.8
    19.2%
    84.0
    16.2%
    86.5
    8.5%
    67.7
    69.8%
    70.1
    77.9%
    57.9
    304.7%
    69.2
    494.3%
    Week 48
    79.0
    71.2%
    82.3
    19.5%
    85.7
    16.6%
    86.7
    8.6%
    75.6
    77.9%
    70.5
    78.3%
    60.0
    315.8%
    72.7
    519.3%
    12. Secondary Outcome
    Title Change From Baseline in Asthma Quality of Life Questionnaire (AQLQ) Global Scores at Weeks 24 and 48
    Description The AQLQ was designed to measure the functional impairments that are most troublesome to adults as a result of their asthma. The AQLQ comprised of 32 items in 4 domains: symptoms (12 items), activity limitation (11 items), emotional function (5 items), and environmental stimuli (4 items). Each item was scored on a 7-point likert scale ranged from 1=severely impaired to 7=not impaired. The 32 items of the questionnaire were averaged to produce one overall quality of life score ranging from 1 (severely impaired) to 7 (not impaired); higher scores indicated better quality of life. For this analysis, baseline was defined as respective parent study baseline.
    Time Frame Baseline of parent study, Weeks 24, and 48 of this extension study

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population. Here, 'number analyzed' = number of participants with available data for each specified category. Data were planned to be collected and analyzed for the participants from Studies DRI12544, EFC13579, and EFC13691 only.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab Participants From EFC13579: Placebo/Dupilumab Participants From EFC13579: Dupilumab/Dupilumab Participants From EFC13691: Placebo/Dupilumab Participants From EFC13691: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment for dupilumab in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421 517 1013 97 90
    Week 24
    1.07
    (0.99)
    1.28
    (1.24)
    1.38
    (1.15)
    1.38
    (1.16)
    0.99
    (1.10)
    0.97
    (1.26)
    Week 48
    1.07
    (1.13)
    1.40
    (1.19)
    1.39
    (1.17)
    1.40
    (1.18)
    1.06
    (0.98)
    1.00
    (1.23)
    13. Secondary Outcome
    Title Percentage of Participants Achieving AQLQ Global Score Response (AQLQ Responders) at Weeks 24 and 48
    Description AQLQ global response was defined as participants with change from baseline in AQLQ global score ≥ 0.5. The AQLQ was designed to measure the functional impairments that are most troublesome to adults as a result of their asthma. The AQLQ comprised of 32 items in 4 domains: symptoms (12 items), activity limitation (11 items), emotional function (5 items), environmental stimuli (4 items). Each item was scored on a 7-point likert scale (1=severely impaired, 7=not impaired). The 32 items of the questionnaire are averaged to produce one overall quality of life score ranging from 1 (severely impaired) to 7 (not impaired). Higher scores indicated better quality of life.
    Time Frame At Weeks 24, and 48 of this extension study

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population. Here, 'number analyzed' = number of participants with available data for each specified category. Data were planned to be collected and analyzed for the participants from Studies DRI12544, EFC13579, and EFC13691 only.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab Participants From EFC13579: Placebo/Dupilumab Participants From EFC13579: Dupilumab/Dupilumab Participants From EFC13691: Placebo/Dupilumab Participants From EFC13691: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment for dupilumab in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421 517 1013 97 90
    Week 24
    67.6
    60.9%
    73.6
    17.5%
    77.6
    15%
    77.2
    7.6%
    64.2
    66.2%
    61.4
    68.2%
    Week 48
    65.0
    58.6%
    76.3
    18.1%
    77.4
    15%
    78.4
    7.7%
    73.3
    75.6%
    68.4
    76%
    14. Secondary Outcome
    Title Serum Concentrations of Dupilumab Over Time Till Week 96
    Description For this analysis, baseline was defined as respective parent study baseline. Here, 'number analyzed'=number of participants with available data for each specified category.
    Time Frame Baseline of parent study, Weeks 0, 4, 12, 24, 48, 72, and 96 of this extension study

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on Pharmacokinetics (PK) population which consisted of all the participants who had actually received at least one dose or part of a dose of dupilumab in the LTS12551 study, with at least one non-missing and evaluable pre-dose serum concentration value after the first dose of dupilumab in the LTS12551 study.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab Participants From EFC13579: Placebo/Dupilumab Participants From EFC13579: Dupilumab/Dupilumab Participants From EFC13691: Placebo/Dupilumab Participants From EFC13691: Dupilumab/Dupilumab Participants From PDY14192: Placebo/Dupilumab Participants From PDY14192: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment for dupilumab in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study PDY14192 received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study PDY14192, received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421 515 1008 96 90 19 14
    Baseline
    0.00
    (0.000)
    0.00
    (1990.640)
    0.00
    (2286.888)
    0.00
    (0.000)
    0.00
    (0.000)
    Week 0
    0.00
    (0.000)
    0.00
    (0.000)
    37230.97
    (73.261)
    40754.49
    (54.858)
    52545.41
    (44.678)
    Week 4
    46848.70
    (43.149)
    40704.77
    (47.293)
    25847.86
    (49.371)
    50566.66
    (55.104)
    25868.25
    (53.450)
    48295.93
    (52.655)
    23336.89
    (50.542)
    56486.58
    (45.755)
    Week 12
    54467.13
    (50.267)
    48155.26
    (52.353)
    45406.55
    (51.399)
    55140.49
    (53.114)
    44064.95
    (57.100)
    50904.34
    (51.233)
    49026.51
    (41.619)
    55365.35
    (53.317)
    Week 24
    47023.84
    (51.645)
    49730.56
    (53.625)
    50984.57
    (53.744)
    54897.58
    (54.044)
    57363.72
    (57.889)
    44219.42
    (55.383)
    63080.82
    (51.224)
    60643.16
    (41.617)
    Week 48
    46355.26
    (52.612)
    45919.75
    (55.932)
    41867.50
    (60.345)
    41849.96
    (62.049)
    36219.47
    (67.530)
    36564.41
    (60.959)
    24864.79
    (58.016)
    53320.11
    (46.714)
    Week 72
    44771.52
    (56.256)
    46842.64
    (53.335)
    45628.10
    (56.232)
    46372.55
    (57.719)
    60117.76
    (62.390)
    32029.19
    (66.785)
    40362.88
    (55.567)
    26383.90
    (120.013)
    Week 96
    42431.08
    (59.222)
    42661.18
    (59.658)
    38908.58
    (64.633)
    39088.60
    (62.897)
    49810.65
    (65.546)
    19030.70
    (67.237)
    42360.37
    (49.409)
    56378.01
    (7.140)
    15. Secondary Outcome
    Title Percentage of Participants With Antidrug Antibodies (ADA) Response
    Description ADA response were categorized as: treatment emergent and treatment boosted response. 1) Treatment emergent was defined as an ADA positive response in the assay post first dose in LTS12551, when baseline results were negative or missing. 2) Treatment boosted was defined as: an ADA positive response in the assay post first dose that was greater-than or equal to 4-fold over baseline titer levels, when baseline results were positive. The criteria for positive was defined as "30 to > 10,000", where low titer (< 1,000); moderate (1,000 ≤ titer ≤ 10,000) and high titer (> 10,000).
    Time Frame From the first IMP injection in LTS12551 to the last IMP injection plus 2 weeks (up to 96 weeks)

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on ADA population which consisted of all participants who had actually received at least one dose or part of a dose of dupilumab in the LTS12551 study, with at least one pre-dose sample that was assayed successfully using the ADA assay after the first dose of dupilumab in the LTS12551 study.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab Participants From EFC13579: Placebo/Dupilumab Participants From EFC13579: Dupilumab/Dupilumab Participants From EFC13691: Placebo/Dupilumab Participants From EFC13691: Dupilumab/Dupilumab Participants From PDY14192: Placebo/Dupilumab Participants From PDY14192: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment for dupilumab in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study PDY14192 received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study PDY14192, received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421 515 1008 95 90 19 14
    Treatment-emergent ADA
    10.8
    9.7%
    12.1
    2.9%
    9.5
    1.8%
    4.5
    0.4%
    7.4
    7.6%
    8.9
    9.9%
    0
    0%
    7.1
    50.7%
    Treatment-boosted ADA
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1.1
    1.1%
    0
    0%
    0
    0%
    0
    0%
    16. Secondary Outcome
    Title Change From Baseline in Blood Eosinophils Cells Count at Weeks 48 and 96
    Description For this analysis, baseline was defined as respective parent study baseline.
    Time Frame Baseline of parent study, Week 48 and Week 96 of this extension study

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population. Here, 'number analyzed' = number of participants with available data for each specified category.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab Participants From EFC13579: Placebo/Dupilumab Participants From EFC13579: Dupilumab/Dupilumab Participants From EFC13691: Placebo/Dupilumab Participants From EFC13691: Dupilumab/Dupilumab Participants From PDY14192: Placebo/Dupilumab Participants From PDY14192: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment for dupilumab in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study PDY14192 received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study PDY14192, received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421 517 1013 97 90 19 14
    Week 48
    0.007
    (0.475)
    -0.041
    (0.588)
    -0.096
    (0.428)
    -0.099
    (0.360)
    0.098
    (0.450)
    0.016
    (0.382)
    -0.066
    (0.181)
    -0.026
    (0.187)
    Week 96
    -0.074
    (0.251)
    -0.081
    (0.562)
    -0.161
    (0.391)
    -0.114
    (0.354)
    -0.051
    (0.399)
    0.083
    (0.642)
    -0.103
    (0.039)
    0.025
    (0.134)
    17. Secondary Outcome
    Title Change From Baseline in Morning Peak Expiratory Flow (PEF) at Weeks 48 and 96: Participants From Study DRI12544
    Description The PEF was a participant's maximum speed of expiration, as measured with a peak flow meter. Peak flow testing for PEF was performed at morning and evening. Morning PEF was performed within 15 minutes after arising (between 5:30 AM and 10 AM) prior to taking any salbutamol/albuterol or levosalbutamol/levalbuterol. For this analysis, baseline was defined as parent study DRI12544 baseline.
    Time Frame Baseline of parent study, Week 48 and Week 96 of this extension study

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population. Here, 'number analyzed' = number of participants with available data for each specified category. Data were planned to be collected and analyzed only for the participants from Study DRI12544 and not for the participants from other studies.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421
    Week 48
    13.26
    (76.71)
    22.95
    (70.06)
    Week 96
    13.63
    (83.88)
    21.69
    (77.70)
    18. Secondary Outcome
    Title Change From Baseline in Evening Peak Expiratory Flow (PEF) at Weeks 48 and 96: Participants From Study DRI12544
    Description The PEF was a participant's maximum speed of expiration, as measured with a peak flow meter. Peak flow testing for PEF was performed at morning and evening. Evening PEF was performed in the evening (between 5:30 PM and 10 PM) prior to taking any salbutamol/albuterol or levosalbutamol/levalbuterol. For this analysis, baseline was defined as parent DRI12544 study baseline.
    Time Frame Baseline of parent study, Week 48 and Week 96 of this extension study

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population. Here, 'number analyzed' = number of participants with available data for each specified category. Data were planned to be collected and analyzed only for the participants from Study DRI12544 and not for the participants from other studies.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421
    Week 48
    4.65
    (75.00)
    11.97
    (72.19)
    Week 96
    1.16
    (79.47)
    10.05
    (79.47)
    19. Secondary Outcome
    Title Change From Baseline in Morning Asthma Symptom Scores at Weeks 48 and 96: Participants From Study DRI12544
    Description Morning asthma symptom score was determined using AM (ante meridiem) symptom scoring system which evaluated participant's overall asthma symptoms experienced during the night. It ranges from 0 to 4 as: 0=no asthma symptoms, slept through the night, 1=slept well, but some complaints in the morning. No nighttime awakenings, 2=woke up once because of asthma (including early awakening), 3=woke up several times because of asthma (including early awakening), 4=bad night, awake most of the night because of asthma; higher scores indicated more severe symptoms. For this analysis, baseline was defined as parent DRI12544 study baseline.
    Time Frame Baseline of parent study, Week 48 and Week 96 of this extension study

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population. Here, 'number analyzed' = number of participants with available data for each specified category. Data were planned to be collected and analyzed only for the participants from Study DRI12544 and not for the participants from other studies.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421
    Week 48
    -0.49
    (0.78)
    -0.68
    (0.79)
    Week 96
    -0.52
    (0.90)
    -0.76
    (0.81)
    20. Secondary Outcome
    Title Change From Baseline in Evening Asthma Symptom Scores at Weeks 48 and 96: Participants From Study DRI12544
    Description Evening asthma symptom score was determined using PM (post meridiem) symptom scoring system which evaluated participant's overall asthma symptoms experienced during the day. It ranged from 0 to 4 as: 0=very well, no asthma symptoms, 1=one episode of wheezing, cough, or breathlessness, 2=more than one episode of wheezing, cough, or breathlessness without interference of normal activities, 3=wheezing, cough, or breathlessness most of the day, which interfered to some extent with normal activities, 4=asthma very bad, unable to carry out daily activities as usual; higher scores indicated more severe symptoms. For this analysis, baseline was defined as parent DRI12544 study baseline.
    Time Frame Baseline of parent study, Week 48, and Week 96 of this extension study

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population. Here, 'number analyzed' = number of participants with available data for each specified category. Data were planned to be collected and analyzed only for the participants from Study DRI12544 and not for the participants from other studies.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421
    Week 48
    -0.47
    (0.81)
    -0.72
    (0.85)
    Week 96
    -0.49
    (0.94)
    -0.79
    (0.88)
    21. Secondary Outcome
    Title Change From Baseline in Number of Inhalations Per Day of Salbutamol/Albuterol or Levosalbutamol/Levalbuterol for Symptom Relief at Weeks 48 and 96: Participants From Study DRI12544
    Description The number of salbutamol/albuterol or levosalbutamol/levalbuterol inhalations was recorded daily by the participants in an electronic diary/PEF meter. Mean number of inhalations in last 7 days prior to each visit was calculated and was used in computation of data reported. For this analysis, baseline was defined as parent DRI12544 study baseline.
    Time Frame Baseline of parent study, Week 48, and Week 96 of this extension study

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population. Here, 'number analyzed' = number of participants with available data for each specified category. Data were planned to be collected and analyzed only for the participants from Study DRI12544 and not for the participants from other studies.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421
    Week 48
    -0.00
    (3.65)
    0.68
    (4.80)
    Week 96
    -0.14
    (4.17)
    -0.82
    (5.18)
    22. Secondary Outcome
    Title Change From Baseline in Number of Nocturnal Awakenings at Weeks 48 and 96: Participants From Study DRI12544
    Description The number of nocturnal awakening because of asthma symptoms were recorded every morning by the participants in an electronic diary. Mean number of awakenings in last 7 days prior to each visit was calculated and was used in computation of data reported. For this analysis, baseline was defined as parent DRI12544 study baseline.
    Time Frame Baseline of parent study, Week 48 and Week 96 of this extension study

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population. Here, 'number analyzed' = number of participants with available data for each specified category. Data were planned to be collected and analyzed only for the participants from Study DRI12544 and not for the participants from other studies.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421
    Week 48
    -0.27
    (0.54)
    -0.43
    (0.89)
    Week 96
    -0.29
    (0.58)
    -0.49
    (0.96)
    23. Secondary Outcome
    Title Percent Change From Baseline in Oral Corticosteroid (OCS) Dose at Weeks 48, and 96: Participants From Study EFC13691
    Description OCS was allowed as background controller medication for the participants from study EFC13691 only. For this analysis, baseline was defined as parent study EFC13691 baseline.
    Time Frame Baseline of parent study, Weeks 48 and 96 of this extension study

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population. Here, 'number analyzed' = number of participants with available data for each specified category. Data were planned to be collected and analyzed only for the participants from Study EFC13691 and not for the participants from other studies.
    Arm/Group Title Participants From EFC13691: Placebo/Dupilumab Participants From EFC13691: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed the treatment of placebo (for dupilumab) in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 97 90
    Week 48
    55.32
    (42.98)
    80.23
    (30.44)
    Week 96
    71.37
    (29.37)
    88.16
    (26.83)
    24. Secondary Outcome
    Title Percentage of Participants Achieving a Reduction of 50% or Greater (≥ 50% ) in OCS Dose Over Time at Weeks 48 and 96: Participants From Study EFC13691
    Description OCS was allowed as background controller medication for the participants from study EFC13691 only. Percentage of participants who achieved a reduction of ≥ 50% in OCS dose were reported.
    Time Frame Weeks 48 and 96 of this extension study

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population. Here, 'number analyzed' = number of participants with available data for each specified category. Data were planned to be collected and analyzed only for the participants from Study EFC13691 and not for the participants from other studies.
    Arm/Group Title Participants From EFC13691: Placebo/Dupilumab Participants From EFC13691: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed the treatment of placebo (for dupilumab) in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 97 90
    Week 48
    64.9
    58.5%
    86.0
    20.4%
    Week 96
    82.1
    74%
    94.7
    22.5%
    25. Secondary Outcome
    Title Percentage of Participants With Background OCS Completely Tapered Off Over Time at Weeks 48 and 96: Participants From Study EFC13691
    Description OCS was allowed as background controller medication for the participants from study EFC13691 only. Number of participants who gradually discontinued or reduced therapeutic dose were reported in this outcome measure.
    Time Frame Weeks 48, and 96 of this extension study

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population. Here, 'number analyzed' = number of participants with available data for each specified category. Data were planned to be collected and analyzed only for the participants from Study EFC13691 and not for the participants from other studies.
    Arm/Group Title Participants From EFC13691: Placebo/Dupilumab Participants From EFC13691: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed the treatment of placebo (for dupilumab) in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 97 90
    Week 48
    31.2
    28.1%
    59.6
    14.2%
    Week 96
    42.9
    38.6%
    78.9
    18.7%
    26. Secondary Outcome
    Title Change From Baseline in European-Quality of Life-5 Dimension Instrument-3 Levels (EQ-5D-3L) Index Scores at Weeks 48 and 96: Participants From Study DRI12544
    Description EQ-5D-3L: validated and reliable self-report health status questionnaire consisted of EQ-5D descriptive system and visual analogue scale (VAS). EQ-5D descriptive system comprises 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension measured on 3 levels: no problem, some problems, and severe problems. The 5 dimensional 3-level systems was converted into single index utility score, and the score was 0 - 100, where 100=best health state; and 0=worst health state; where higher scores indicated better outcome. For this analysis, baseline was defined as parent DRI12544 study baseline.
    Time Frame Baseline of parent study, Week 48 and Week 96 of this extension study

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population. Here, 'number analyzed' = number of participants with available data for each specified category. Data were planned to be collected and analyzed only for the participants from Study DRI12544 and not for the participants from other studies.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421
    Week 48
    0.13
    (0.20)
    0.14
    (0.21)
    Week 96
    0.12
    (0.18)
    0.13
    (0.21)
    27. Secondary Outcome
    Title Change From Baseline in EQ-5D-3L VAS Scores at Weeks 48 and 96: Participants From Study DRI12544
    Description EQ-5D VAS was used to record a participant's rating for his/her current health-related quality of life state and captured on a vertical VAS (0-100), where 0=worst imaginable health state and 100=best imaginable health state, where higher states indicated better outcomes. For this analysis, baseline was defined as parent DRI12544 study baseline.
    Time Frame Baseline of parent study, Week 48 and Week 96 of this extension study

    Outcome Measure Data

    Analysis Population Description
    Analysis was performed on exposed population. Here, 'number analyzed' = number of participants with available data for each specified category. Data were planned to be collected and analyzed only for the participants from Study DRI12544 and not for the participants from other studies.
    Arm/Group Title Participants From DRI12544: Placebo/Dupilumab Participants From DRI12544: Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    Measure Participants 111 421
    Week 48
    10.10
    (15.40)
    12.88
    (18.76)
    Week 96
    9.90
    (18.92)
    13.95
    (18.81)

    Adverse Events

    Time Frame Reported AE and deaths were TEAEs that developed, worsened, or became serious and deaths that occurred during the TEAE period (time from the first dose of dupilumab in LTS12551 up to the last dose of dupilumab plus 14 weeks) (i.e. up to 108 weeks).
    Adverse Event Reporting Description Analysis was performed on safety population.
    Arm/Group Title Participants From DRI12544 Study Placebo/Dupilumab Participants From DRI12544 Study Dupilumab/Dupilumab Participants From EFC13579 Study Placebo/Dupilumab Participants From EFC13579 Study Dupilumab/Dupilumab Participants From EFC13691 Study Placebo/Dupilumab Participants From EFC13691 Study Dupilumab/Dupilumab Participants From PDY14192 Study Placebo/Dupilumab Participants From PDY14192 Study Dupilumab/Dupilumab
    Arm/Group Description Participants who completed treatment of placebo (for dupilumab) and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab and post-treatment period in study DRI12544, received a loading dose of dupilumab 600 mg on Day 1 followed by a SC dose of dupilumab 300 mg q2w for 96 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment for dupilumab in study EFC13579 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with ICS therapy/LABA therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study EFC13691 and, who were enrolled before amendment 4 received a SC dose of dupilumab 300 mg q2w for 96 weeks and those who were enrolled after amendment 4 received a SC dose of dupilumab 300 mg q2w for 48 weeks in combination with OCS and ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of placebo (for dupilumab) in study PDY14192 received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with CS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication. Participants who completed the treatment of dupilumab in study PDY14192, received a SC dose of dupilumab 300 mg q2w for up to 96 weeks in combination with ICS therapy in this extension study. Salbutamol/albuterol or Levosalbutamol/levalbuterol was given as reliever medication.
    All Cause Mortality
    Participants From DRI12544 Study Placebo/Dupilumab Participants From DRI12544 Study Dupilumab/Dupilumab Participants From EFC13579 Study Placebo/Dupilumab Participants From EFC13579 Study Dupilumab/Dupilumab Participants From EFC13691 Study Placebo/Dupilumab Participants From EFC13691 Study Dupilumab/Dupilumab Participants From PDY14192 Study Placebo/Dupilumab Participants From PDY14192 Study Dupilumab/Dupilumab
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/111 (0%) 3/421 (0.7%) 0/517 (0%) 1/1013 (0.1%) 0/97 (0%) 0/90 (0%) 0/19 (0%) 0/14 (0%)
    Serious Adverse Events
    Participants From DRI12544 Study Placebo/Dupilumab Participants From DRI12544 Study Dupilumab/Dupilumab Participants From EFC13579 Study Placebo/Dupilumab Participants From EFC13579 Study Dupilumab/Dupilumab Participants From EFC13691 Study Placebo/Dupilumab Participants From EFC13691 Study Dupilumab/Dupilumab Participants From PDY14192 Study Placebo/Dupilumab Participants From PDY14192 Study Dupilumab/Dupilumab
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 14/111 (12.6%) 42/421 (10%) 48/517 (9.3%) 106/1013 (10.5%) 12/97 (12.4%) 10/90 (11.1%) 0/19 (0%) 4/14 (28.6%)
    Cardiac disorders
    Acute Coronary Syndrome 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 1/90 (1.1%) 1 0/19 (0%) 0 0/14 (0%) 0
    Acute Left Ventricular Failure 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Angina Unstable 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Aortic Valve Incompetence 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Atrial Fibrillation 0/111 (0%) 0 2/421 (0.5%) 2 2/517 (0.4%) 2 5/1013 (0.5%) 10 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Atrioventricular Block Complete 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Cardiac Failure 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Myocardial Ischaemia 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 3/1013 (0.3%) 3 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Myocarditis 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Congenital, familial and genetic disorders
    Odontogenic Cyst 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 1/97 (1%) 1 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Ear and labyrinth disorders
    Vertigo 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Endocrine disorders
    Goitre 1/111 (0.9%) 1 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Eye disorders
    Angle Closure Glaucoma 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Cataract 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Serous Retinal Detachment 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Gastrointestinal disorders
    Abdominal Hernia 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Abdominal Incarcerated Hernia 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Abdominal Pain 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Abdominal Pain Upper 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Diaphragmatic Hernia 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Diverticulum Intestinal 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Gastritis 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Gastritis Erosive 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Gastroenteritis Eosinophilic 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Hiatus Hernia 0/111 (0%) 0 1/421 (0.2%) 1 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Inguinal Hernia 0/111 (0%) 0 1/421 (0.2%) 1 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Intestinal Obstruction 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Intra-Abdominal Haemorrhage 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 1/97 (1%) 1 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Large Intestine Polyp 0/111 (0%) 0 2/421 (0.5%) 2 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Oesophageal Food Impaction 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Pancreatitis 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Retroperitoneum Cyst 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Tooth Impacted 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Umbilical Hernia 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 1/97 (1%) 1 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Upper Gastrointestinal Haemorrhage 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Vomiting 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    General disorders
    Adverse Drug Reaction 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Injection Site Erythema 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Hepatobiliary disorders
    Cholecystitis Acute 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Cholelithiasis 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 4/1013 (0.4%) 4 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Hepatomegaly 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Immune system disorders
    Anaphylactic Reaction 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Drug Hypersensitivity 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Eosinophilic Granulomatosis With Polyangiitis 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 2/1013 (0.2%) 2 1/97 (1%) 1 1/90 (1.1%) 1 0/19 (0%) 0 0/14 (0%) 0
    Hypersensitivity 0/111 (0%) 0 1/421 (0.2%) 2 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Infections and infestations
    Abscess Limb 1/111 (0.9%) 1 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Appendicitis 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Bronchitis 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 2/1013 (0.2%) 2 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Bronchopulmonary Aspergillosis Allergic 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Cellulitis 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Cervicitis 1/111 (0.9%) 1 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Chronic Sinusitis 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Diverticulitis 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Ear Infection 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 1/97 (1%) 1 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Gastroenteritis 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Herpes Simplex Encephalitis 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Influenza 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 2/1013 (0.2%) 2 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Large Intestine Infection 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Lower Respiratory Tract Infection 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Lower Respiratory Tract Infection Bacterial 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Mycobacterium Avium Complex Infection 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Pneumonia 3/111 (2.7%) 3 4/421 (1%) 4 4/517 (0.8%) 4 7/1013 (0.7%) 7 1/97 (1%) 1 1/90 (1.1%) 1 0/19 (0%) 0 0/14 (0%) 0
    Pneumonia Bacterial 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Post Procedural Infection 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Pyelonephritis Acute 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Salmonellosis 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Sialoadenitis 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Sinusitis 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 1/97 (1%) 1 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Tonsillitis 1/111 (0.9%) 1 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Wound Infection 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Injury, poisoning and procedural complications
    Ankle Fracture 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Chemical Peritonitis 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Craniocerebral Injury 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Facial Bones Fracture 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Fall 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 2/1013 (0.2%) 2 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Forearm Fracture 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Hand Fracture 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Head Injury 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Incision Site Pain 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Incisional Hernia 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Lower Limb Fracture 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Lumbar Vertebral Fracture 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Meniscus Injury 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Post Procedural Complication 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Post Procedural Constipation 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Pulmonary Contusion 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 1/97 (1%) 1 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Radius Fracture 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Skin Laceration 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Upper Limb Fracture 1/111 (0.9%) 1 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Investigations
    Alanine Aminotransferase Increased 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 1/97 (1%) 1 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Metabolism and nutrition disorders
    Dehydration 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Diabetes Mellitus 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 2/1013 (0.2%) 2 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Diabetic Metabolic Decompensation 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Musculoskeletal and connective tissue disorders
    Arthralgia 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Intervertebral Disc Protrusion 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 2/1013 (0.2%) 2 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Osteoarthritis 0/111 (0%) 0 3/421 (0.7%) 4 1/517 (0.2%) 1 4/1013 (0.4%) 4 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Osteonecrosis 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Pain In Extremity 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Rotator Cuff Syndrome 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Adenocarcinoma Gastric 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Adenocarcinoma Of Colon 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Basal Cell Carcinoma 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 3/1013 (0.3%) 3 1/97 (1%) 1 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Benign Ovarian Tumour 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Bowen's Disease 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Breast Cancer 0/111 (0%) 0 0/421 (0%) 0 2/517 (0.4%) 2 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Colon Adenoma 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Colon Cancer 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Endometrial Cancer 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Fibroadenoma Of Breast 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 1/90 (1.1%) 1 0/19 (0%) 0 0/14 (0%) 0
    Follicular Thyroid Cancer 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Gastric Adenoma 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Hodgkin's Disease 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Intraductal Proliferative Breast Lesion 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Juvenile Melanoma Benign 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Large Intestine Benign Neoplasm 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 1/97 (1%) 1 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Lung Cancer Metastatic 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Metastases To Central Nervous System 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Non-Small Cell Lung Cancer 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Osteochondroma 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Ovarian Cancer 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Papillary Thyroid Cancer 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 3/1013 (0.3%) 3 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Prostate Cancer 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 1/97 (1%) 1 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Prostate Cancer Stage I 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Rectal Cancer 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Squamous Cell Carcinoma Of Skin 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Uterine Leiomyoma 0/111 (0%) 0 3/421 (0.7%) 3 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Nervous system disorders
    Carotid Artery Disease 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Cerebral Infarction 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Cerebrovascular Accident 1/111 (0.9%) 1 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Dizziness 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Dyskinesia 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Headache 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Hypertensive Cerebrovascular Disease 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Idiopathic Intracranial Hypertension 1/111 (0.9%) 1 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Neuritis 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 1/90 (1.1%) 1 0/19 (0%) 0 0/14 (0%) 0
    Optic Neuritis 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Paraesthesia 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Parkinson's Disease 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Seizure 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Syncope 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 1/90 (1.1%) 1 0/19 (0%) 0 0/14 (0%) 0
    Thalamic Infarction 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Transient Ischaemic Attack 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Pregnancy, puerperium and perinatal conditions
    Abortion Spontaneous 0/111 (0%) 0 2/421 (0.5%) 2 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Pregnancy 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Psychiatric disorders
    Delirium 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Depressed Mood 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Depression 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Suicide Attempt 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Renal and urinary disorders
    Acute Kidney Injury 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Iga Nephropathy 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Ureterolithiasis 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Urinary Incontinence 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Reproductive system and breast disorders
    Adenomyosis 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Benign Prostatic Hyperplasia 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Endometrial Hyperplasia 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Haemorrhagic Ovarian Cyst 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Ovarian Cyst 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Vaginal Prolapse 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Respiratory, thoracic and mediastinal disorders
    Acute Respiratory Failure 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Asthma 4/111 (3.6%) 4 2/421 (0.5%) 2 13/517 (2.5%) 13 18/1013 (1.8%) 19 0/97 (0%) 0 5/90 (5.6%) 5 0/19 (0%) 0 1/14 (7.1%) 1
    Atelectasis 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Nasal Septum Deviation 1/111 (0.9%) 1 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Nasal Septum Perforation 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Pleural Effusion 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Pneumothorax 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Pulmonary Embolism 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 1/1013 (0.1%) 1 1/97 (1%) 1 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Pulmonary Oedema 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Respiratory Failure 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Sinusitis Noninfective 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Status Asthmaticus 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 1/90 (1.1%) 1 0/19 (0%) 0 0/14 (0%) 0
    Vocal Cord Polyp 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Skin and subcutaneous tissue disorders
    Erythema Nodosum 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Rash Erythematous 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Rash Vesicular 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Social circumstances
    Miscarriage Of Partner 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Vascular disorders
    Aortic Dilatation 0/111 (0%) 0 1/421 (0.2%) 3 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Deep Vein Thrombosis 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Hypertensive Crisis 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 1/97 (1%) 1 0/90 (0%) 0 0/19 (0%) 0 0/14 (0%) 0
    Other (Not Including Serious) Adverse Events
    Participants From DRI12544 Study Placebo/Dupilumab Participants From DRI12544 Study Dupilumab/Dupilumab Participants From EFC13579 Study Placebo/Dupilumab Participants From EFC13579 Study Dupilumab/Dupilumab Participants From EFC13691 Study Placebo/Dupilumab Participants From EFC13691 Study Dupilumab/Dupilumab Participants From PDY14192 Study Placebo/Dupilumab Participants From PDY14192 Study Dupilumab/Dupilumab
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 80/111 (72.1%) 323/421 (76.7%) 357/517 (69.1%) 666/1013 (65.7%) 56/97 (57.7%) 55/90 (61.1%) 18/19 (94.7%) 13/14 (92.9%)
    Ear and labyrinth disorders
    Ear Pain 0/111 (0%) 0 2/421 (0.5%) 2 1/517 (0.2%) 1 6/1013 (0.6%) 6 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    Tinnitus 0/111 (0%) 0 2/421 (0.5%) 2 3/517 (0.6%) 3 2/1013 (0.2%) 2 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Eye disorders
    Dry Eye 0/111 (0%) 0 4/421 (1%) 5 2/517 (0.4%) 2 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    Gastrointestinal disorders
    Abdominal Distension 0/111 (0%) 0 2/421 (0.5%) 2 1/517 (0.2%) 1 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    Abdominal Pain 3/111 (2.7%) 3 12/421 (2.9%) 13 9/517 (1.7%) 11 13/1013 (1.3%) 16 4/97 (4.1%) 4 1/90 (1.1%) 1 0/19 (0%) 0 1/14 (7.1%) 1
    Abdominal Pain Upper 0/111 (0%) 0 5/421 (1.2%) 5 6/517 (1.2%) 6 10/1013 (1%) 11 1/97 (1%) 1 1/90 (1.1%) 1 0/19 (0%) 0 1/14 (7.1%) 1
    Dental Caries 1/111 (0.9%) 2 6/421 (1.4%) 6 4/517 (0.8%) 4 9/1013 (0.9%) 9 1/97 (1%) 1 1/90 (1.1%) 1 1/19 (5.3%) 1 0/14 (0%) 0
    Diarrhoea 3/111 (2.7%) 3 16/421 (3.8%) 20 7/517 (1.4%) 9 25/1013 (2.5%) 27 4/97 (4.1%) 4 3/90 (3.3%) 3 2/19 (10.5%) 2 2/14 (14.3%) 2
    Dyspepsia 1/111 (0.9%) 1 1/421 (0.2%) 2 1/517 (0.2%) 1 7/1013 (0.7%) 8 1/97 (1%) 1 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Gastrointestinal Disorder 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 1/90 (1.1%) 1 1/19 (5.3%) 1 0/14 (0%) 0
    Gastrooesophageal Reflux Disease 1/111 (0.9%) 1 13/421 (3.1%) 14 13/517 (2.5%) 15 21/1013 (2.1%) 23 2/97 (2.1%) 2 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Haemorrhoidal Haemorrhage 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Nausea 2/111 (1.8%) 2 6/421 (1.4%) 36 8/517 (1.5%) 8 14/1013 (1.4%) 52 0/97 (0%) 0 0/90 (0%) 0 3/19 (15.8%) 4 1/14 (7.1%) 1
    Oesophagitis 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 2/1013 (0.2%) 2 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Vomiting 2/111 (1.8%) 2 4/421 (1%) 4 5/517 (1%) 5 13/1013 (1.3%) 15 0/97 (0%) 0 0/90 (0%) 0 4/19 (21.1%) 5 0/14 (0%) 0
    General disorders
    Fatigue 1/111 (0.9%) 1 10/421 (2.4%) 12 5/517 (1%) 5 8/1013 (0.8%) 15 5/97 (5.2%) 5 1/90 (1.1%) 1 0/19 (0%) 0 1/14 (7.1%) 1
    Injection Site Bruising 0/111 (0%) 0 1/421 (0.2%) 2 1/517 (0.2%) 1 2/1013 (0.2%) 2 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Injection Site Erythema 26/111 (23.4%) 102 55/421 (13.1%) 412 35/517 (6.8%) 148 50/1013 (4.9%) 295 5/97 (5.2%) 12 2/90 (2.2%) 29 8/19 (42.1%) 21 6/14 (42.9%) 29
    Injection Site Haematoma 4/111 (3.6%) 4 2/421 (0.5%) 2 4/517 (0.8%) 4 4/1013 (0.4%) 7 1/97 (1%) 3 0/90 (0%) 0 0/19 (0%) 0 2/14 (14.3%) 2
    Injection Site Haemorrhage 5/111 (4.5%) 7 5/421 (1.2%) 5 5/517 (1%) 5 2/1013 (0.2%) 4 0/97 (0%) 0 0/90 (0%) 0 2/19 (10.5%) 2 0/14 (0%) 0
    Injection Site Oedema 4/111 (3.6%) 9 14/421 (3.3%) 84 14/517 (2.7%) 32 15/1013 (1.5%) 58 0/97 (0%) 0 2/90 (2.2%) 8 3/19 (15.8%) 6 2/14 (14.3%) 4
    Injection Site Pain 9/111 (8.1%) 18 18/421 (4.3%) 28 15/517 (2.9%) 40 14/1013 (1.4%) 51 0/97 (0%) 0 2/90 (2.2%) 9 1/19 (5.3%) 3 2/14 (14.3%) 2
    Injection Site Pruritus 12/111 (10.8%) 23 16/421 (3.8%) 54 15/517 (2.9%) 36 7/1013 (0.7%) 20 2/97 (2.1%) 2 0/90 (0%) 0 2/19 (10.5%) 3 0/14 (0%) 0
    Injection Site Reaction 0/111 (0%) 0 1/421 (0.2%) 1 3/517 (0.6%) 3 5/1013 (0.5%) 10 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    Injection Site Warmth 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 20 1/97 (1%) 1 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    Malaise 1/111 (0.9%) 1 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Peripheral Swelling 0/111 (0%) 0 1/421 (0.2%) 1 3/517 (0.6%) 3 2/1013 (0.2%) 2 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    Pyrexia 1/111 (0.9%) 1 8/421 (1.9%) 12 0/517 (0%) 0 16/1013 (1.6%) 20 1/97 (1%) 1 3/90 (3.3%) 4 0/19 (0%) 0 1/14 (7.1%) 1
    Immune system disorders
    Drug Hypersensitivity 1/111 (0.9%) 1 0/421 (0%) 0 1/517 (0.2%) 1 4/1013 (0.4%) 4 2/97 (2.1%) 2 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Multiple Allergies 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    Infections and infestations
    Bronchitis 15/111 (13.5%) 30 80/421 (19%) 135 63/517 (12.2%) 100 117/1013 (11.5%) 181 9/97 (9.3%) 10 14/90 (15.6%) 15 0/19 (0%) 0 0/14 (0%) 0
    Bronchitis Viral 1/111 (0.9%) 1 0/421 (0%) 0 0/517 (0%) 0 4/1013 (0.4%) 4 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Conjunctivitis 0/111 (0%) 0 5/421 (1.2%) 5 5/517 (1%) 5 18/1013 (1.8%) 21 1/97 (1%) 1 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Gastroenteritis 6/111 (5.4%) 6 7/421 (1.7%) 8 10/517 (1.9%) 14 26/1013 (2.6%) 31 0/97 (0%) 0 2/90 (2.2%) 2 1/19 (5.3%) 1 0/14 (0%) 0
    Genital Herpes 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 2 0/14 (0%) 0
    Gingivitis 1/111 (0.9%) 1 3/421 (0.7%) 3 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 1/90 (1.1%) 1 0/19 (0%) 0 1/14 (7.1%) 1
    Infection 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Influenza 5/111 (4.5%) 5 44/421 (10.5%) 52 30/517 (5.8%) 39 67/1013 (6.6%) 79 9/97 (9.3%) 11 7/90 (7.8%) 10 2/19 (10.5%) 2 2/14 (14.3%) 2
    Lower Respiratory Tract Infection 1/111 (0.9%) 2 6/421 (1.4%) 6 6/517 (1.2%) 7 17/1013 (1.7%) 18 1/97 (1%) 1 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Nasopharyngitis 27/111 (24.3%) 47 109/421 (25.9%) 208 99/517 (19.1%) 149 191/1013 (18.9%) 293 17/97 (17.5%) 30 16/90 (17.8%) 22 3/19 (15.8%) 8 6/14 (42.9%) 8
    Oral Candidiasis 1/111 (0.9%) 5 9/421 (2.1%) 19 6/517 (1.2%) 9 14/1013 (1.4%) 19 1/97 (1%) 1 0/90 (0%) 0 1/19 (5.3%) 2 0/14 (0%) 0
    Pharyngitis 16/111 (14.4%) 21 37/421 (8.8%) 57 26/517 (5%) 30 59/1013 (5.8%) 75 1/97 (1%) 1 4/90 (4.4%) 5 0/19 (0%) 0 0/14 (0%) 0
    Pharyngitis Streptococcal 0/111 (0%) 0 1/421 (0.2%) 2 6/517 (1.2%) 6 7/1013 (0.7%) 7 1/97 (1%) 1 1/90 (1.1%) 1 0/19 (0%) 0 1/14 (7.1%) 1
    Post Procedural Infection 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Postoperative Wound Infection 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Pulpitis Dental 1/111 (0.9%) 1 2/421 (0.5%) 2 0/517 (0%) 0 5/1013 (0.5%) 6 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 2 0/14 (0%) 0
    Respiratory Tract Infection 3/111 (2.7%) 3 15/421 (3.6%) 17 5/517 (1%) 6 18/1013 (1.8%) 25 0/97 (0%) 0 2/90 (2.2%) 2 2/19 (10.5%) 2 0/14 (0%) 0
    Respiratory Tract Infection Viral 0/111 (0%) 0 3/421 (0.7%) 6 6/517 (1.2%) 7 11/1013 (1.1%) 15 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    Rhinitis 7/111 (6.3%) 8 11/421 (2.6%) 11 6/517 (1.2%) 7 22/1013 (2.2%) 25 4/97 (4.1%) 4 1/90 (1.1%) 1 0/19 (0%) 0 1/14 (7.1%) 1
    Sinusitis 9/111 (8.1%) 16 33/421 (7.8%) 56 32/517 (6.2%) 43 50/1013 (4.9%) 66 2/97 (2.1%) 2 4/90 (4.4%) 4 1/19 (5.3%) 1 0/14 (0%) 0
    Upper Respiratory Tract Infection 18/111 (16.2%) 30 60/421 (14.3%) 87 65/517 (12.6%) 96 130/1013 (12.8%) 213 8/97 (8.2%) 12 6/90 (6.7%) 15 2/19 (10.5%) 4 0/14 (0%) 0
    Urinary Tract Infection 5/111 (4.5%) 7 26/421 (6.2%) 31 17/517 (3.3%) 20 42/1013 (4.1%) 53 4/97 (4.1%) 4 3/90 (3.3%) 3 0/19 (0%) 0 1/14 (7.1%) 1
    Viral Upper Respiratory Tract Infection 2/111 (1.8%) 3 11/421 (2.6%) 15 13/517 (2.5%) 16 30/1013 (3%) 48 1/97 (1%) 4 1/90 (1.1%) 3 1/19 (5.3%) 1 0/14 (0%) 0
    Injury, poisoning and procedural complications
    Accidental Overdose 6/111 (5.4%) 9 40/421 (9.5%) 44 28/517 (5.4%) 31 45/1013 (4.4%) 48 5/97 (5.2%) 5 5/90 (5.6%) 6 2/19 (10.5%) 2 0/14 (0%) 0
    Arthropod Bite 2/111 (1.8%) 2 4/421 (1%) 5 3/517 (0.6%) 3 9/1013 (0.9%) 9 0/97 (0%) 0 1/90 (1.1%) 1 1/19 (5.3%) 1 0/14 (0%) 0
    Concussion 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 1 1/14 (7.1%) 1
    Contusion 3/111 (2.7%) 3 14/421 (3.3%) 27 12/517 (2.3%) 13 14/1013 (1.4%) 18 0/97 (0%) 0 2/90 (2.2%) 3 0/19 (0%) 0 3/14 (21.4%) 3
    Fall 2/111 (1.8%) 2 7/421 (1.7%) 8 12/517 (2.3%) 12 33/1013 (3.3%) 38 1/97 (1%) 1 0/90 (0%) 0 2/19 (10.5%) 2 0/14 (0%) 0
    Intentional Overdose 1/111 (0.9%) 1 3/421 (0.7%) 3 0/517 (0%) 0 2/1013 (0.2%) 2 2/97 (2.1%) 2 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    Limb Injury 1/111 (0.9%) 1 1/421 (0.2%) 2 3/517 (0.6%) 3 3/1013 (0.3%) 4 0/97 (0%) 0 1/90 (1.1%) 1 0/19 (0%) 0 2/14 (14.3%) 2
    Lip Injury 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    Muscle Strain 0/111 (0%) 0 1/421 (0.2%) 1 0/517 (0%) 0 7/1013 (0.7%) 7 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Skin Laceration 1/111 (0.9%) 1 5/421 (1.2%) 5 10/517 (1.9%) 10 7/1013 (0.7%) 7 0/97 (0%) 0 1/90 (1.1%) 1 1/19 (5.3%) 1 0/14 (0%) 0
    Stab Wound 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    Tooth Fracture 3/111 (2.7%) 3 1/421 (0.2%) 1 1/517 (0.2%) 1 2/1013 (0.2%) 2 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Wrist Fracture 0/111 (0%) 0 0/421 (0%) 0 2/517 (0.4%) 2 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Investigations
    Blood Glucose Increased 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 1/90 (1.1%) 1 1/19 (5.3%) 1 0/14 (0%) 0
    C-Reactive Protein Increased 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    Epstein-Barr Virus Test Positive 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    White Blood Cells Urine Positive 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 2
    Metabolism and nutrition disorders
    Dehydration 0/111 (0%) 0 1/421 (0.2%) 1 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    Musculoskeletal and connective tissue disorders
    Arthralgia 9/111 (8.1%) 10 23/421 (5.5%) 29 23/517 (4.4%) 29 22/1013 (2.2%) 22 7/97 (7.2%) 7 1/90 (1.1%) 1 0/19 (0%) 0 2/14 (14.3%) 2
    Back Pain 4/111 (3.6%) 4 30/421 (7.1%) 33 23/517 (4.4%) 28 52/1013 (5.1%) 67 5/97 (5.2%) 5 0/90 (0%) 0 2/19 (10.5%) 2 3/14 (21.4%) 4
    Bursitis 1/111 (0.9%) 2 2/421 (0.5%) 2 2/517 (0.4%) 2 1/1013 (0.1%) 1 1/97 (1%) 1 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Intervertebral Disc Protrusion 0/111 (0%) 0 6/421 (1.4%) 6 3/517 (0.6%) 3 3/1013 (0.3%) 3 1/97 (1%) 2 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Muscle Spasms 1/111 (0.9%) 2 4/421 (1%) 6 7/517 (1.4%) 9 9/1013 (0.9%) 10 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 1 1/14 (7.1%) 1
    Myalgia 5/111 (4.5%) 5 14/421 (3.3%) 14 7/517 (1.4%) 7 12/1013 (1.2%) 14 0/97 (0%) 0 1/90 (1.1%) 1 2/19 (10.5%) 2 0/14 (0%) 0
    Myositis 0/111 (0%) 0 1/421 (0.2%) 1 2/517 (0.4%) 2 2/1013 (0.2%) 2 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    Pain In Extremity 2/111 (1.8%) 2 6/421 (1.4%) 6 7/517 (1.4%) 8 16/1013 (1.6%) 16 1/97 (1%) 1 3/90 (3.3%) 3 1/19 (5.3%) 1 1/14 (7.1%) 1
    Rotator Cuff Syndrome 1/111 (0.9%) 1 1/421 (0.2%) 1 1/517 (0.2%) 1 2/1013 (0.2%) 2 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Tendonitis 2/111 (1.8%) 3 4/421 (1%) 4 0/517 (0%) 0 5/1013 (0.5%) 5 1/97 (1%) 1 2/90 (2.2%) 2 0/19 (0%) 0 1/14 (7.1%) 1
    Trismus 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Pituitary Tumour Benign 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    Nervous system disorders
    Carpal Tunnel Syndrome 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 3/1013 (0.3%) 3 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Dizziness 3/111 (2.7%) 3 12/421 (2.9%) 13 8/517 (1.5%) 8 6/1013 (0.6%) 7 2/97 (2.1%) 2 0/90 (0%) 0 2/19 (10.5%) 3 0/14 (0%) 0
    Dysaesthesia 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    Headache 13/111 (11.7%) 14 47/421 (11.2%) 141 47/517 (9.1%) 69 74/1013 (7.3%) 145 4/97 (4.1%) 4 5/90 (5.6%) 5 4/19 (21.1%) 9 1/14 (7.1%) 1
    Migraine 2/111 (1.8%) 2 3/421 (0.7%) 3 7/517 (1.4%) 14 9/1013 (0.9%) 9 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 2/14 (14.3%) 2
    Paraesthesia 1/111 (0.9%) 1 3/421 (0.7%) 3 1/517 (0.2%) 1 4/1013 (0.4%) 4 1/97 (1%) 1 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    Presyncope 0/111 (0%) 0 2/421 (0.5%) 2 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Somnolence 1/111 (0.9%) 1 4/421 (1%) 6 1/517 (0.2%) 1 1/1013 (0.1%) 1 2/97 (2.1%) 2 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Syncope 1/111 (0.9%) 1 1/421 (0.2%) 1 0/517 (0%) 0 2/1013 (0.2%) 2 0/97 (0%) 0 1/90 (1.1%) 3 1/19 (5.3%) 1 0/14 (0%) 0
    Psychiatric disorders
    Anxiety 1/111 (0.9%) 1 1/421 (0.2%) 1 7/517 (1.4%) 7 10/1013 (1%) 11 1/97 (1%) 1 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Insomnia 2/111 (1.8%) 3 6/421 (1.4%) 7 6/517 (1.2%) 6 8/1013 (0.8%) 8 1/97 (1%) 1 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    Sleep Disorder 0/111 (0%) 0 0/421 (0%) 0 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Renal and urinary disorders
    Leukocyturia 1/111 (0.9%) 1 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Urinary Retention 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Reproductive system and breast disorders
    Endometriosis 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Metrorrhagia 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 1/90 (1.1%) 1 0/19 (0%) 0 1/14 (7.1%) 1
    Respiratory, thoracic and mediastinal disorders
    Cough 4/111 (3.6%) 4 16/421 (3.8%) 24 10/517 (1.9%) 12 22/1013 (2.2%) 29 3/97 (3.1%) 3 3/90 (3.3%) 4 3/19 (15.8%) 3 0/14 (0%) 0
    Dyspnoea 2/111 (1.8%) 2 10/421 (2.4%) 11 8/517 (1.5%) 8 12/1013 (1.2%) 23 2/97 (2.1%) 7 2/90 (2.2%) 3 2/19 (10.5%) 2 1/14 (7.1%) 1
    Nasal Congestion 1/111 (0.9%) 1 5/421 (1.2%) 5 3/517 (0.6%) 3 5/1013 (0.5%) 5 0/97 (0%) 0 1/90 (1.1%) 1 1/19 (5.3%) 1 0/14 (0%) 0
    Oropharyngeal Pain 3/111 (2.7%) 5 13/421 (3.1%) 13 11/517 (2.1%) 11 20/1013 (2%) 22 2/97 (2.1%) 2 5/90 (5.6%) 5 1/19 (5.3%) 1 1/14 (7.1%) 1
    Paranasal Sinus Discomfort 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 2/19 (10.5%) 2 0/14 (0%) 0
    Sinus Congestion 0/111 (0%) 0 1/421 (0.2%) 1 2/517 (0.4%) 3 0/1013 (0%) 0 0/97 (0%) 0 1/90 (1.1%) 1 0/19 (0%) 0 1/14 (7.1%) 1
    Sputum Increased 1/111 (0.9%) 1 1/421 (0.2%) 1 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    Upper Respiratory Tract Congestion 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Wheezing 1/111 (0.9%) 1 0/421 (0%) 0 3/517 (0.6%) 5 3/1013 (0.3%) 4 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    Skin and subcutaneous tissue disorders
    Dermatitis Atopic 0/111 (0%) 0 2/421 (0.5%) 5 5/517 (1%) 5 9/1013 (0.9%) 11 1/97 (1%) 1 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Dyshidrotic Eczema 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 1/1013 (0.1%) 1 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    Papulopustular Rosacea 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Pityriasis Alba 0/111 (0%) 0 0/421 (0%) 0 0/517 (0%) 0 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Rash Generalised 1/111 (0.9%) 1 1/421 (0.2%) 1 1/517 (0.2%) 1 0/1013 (0%) 0 0/97 (0%) 0 0/90 (0%) 0 1/19 (5.3%) 1 0/14 (0%) 0
    Rosacea 0/111 (0%) 0 1/421 (0.2%) 1 1/517 (0.2%) 1 3/1013 (0.3%) 3 0/97 (0%) 0 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Solar Dermatitis 1/111 (0.9%) 1 1/421 (0.2%) 1 0/517 (0%) 0 0/1013 (0%) 0 1/97 (1%) 1 0/90 (0%) 0 0/19 (0%) 0 1/14 (7.1%) 1
    Vascular disorders
    Hypertension 5/111 (4.5%) 5 16/421 (3.8%) 19 19/517 (3.7%) 20 29/1013 (2.9%) 37 5/97 (5.2%) 7 2/90 (2.2%) 2 0/19 (0%) 0 0/14 (0%) 0

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    The Sponsor supports publication of clinical trial results but may request that investigators temporarily delay or alter publications in order to protect proprietary information. The Sponsor may also require that the results of multicenter studies be published only in their entirety and not as individual site data.

    Results Point of Contact

    Name/Title Trial Transparency Team
    Organization Sanofi
    Phone 800-633-1610 ext 1#
    Email Contact-US@sanofi.com
    Responsible Party:
    Sanofi
    ClinicalTrials.gov Identifier:
    NCT02134028
    Other Study ID Numbers:
    • LTS12551
    • 2013-003856-19
    • U1111-1117-6745
    First Posted:
    May 8, 2014
    Last Update Posted:
    Mar 28, 2022
    Last Verified:
    Mar 1, 2022