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Phase 3Recruiting
View on ClinicalTrials.gov

Comparing 6 approaches for atopic dermatitis

Official title: A Study of Upadacitinib in Adult Participants With Moderate-to-Severe Atopic Dermatitis and Inadequate Response to Dupilumab

A Phase 3b/4 Randomized, Open-label, Efficacy Assessor-Blinded Study, to Evaluate the Efficacy and Safety of Upadacitinib for the Treatment of Adult Subjects With Moderate to Severe Atopic Dermatitis and Inadequate Response to Dupilumab (SWITCH-UP)

Condition: Atopic DermatitisSponsor: AbbVieTarget enrollment: 200
  • Phase 3
  • 6 groups
  • Sites in Calgary, Edmonton and 2 more cities
  • Recruiting
Centre de Recherche Saint-Louis /ID# 271083, Québec, QuebecDermatology Research Institute - Blackfoot Trail /ID# 270450, Calgary, AlbertaStratica Medical /ID# 270466, Edmonton, AlbertaYork Dermatology Clinic & Research Centre /ID# 278847, Richmond Hill, OntarioCentre de Recherche dermatologique du Quebec Metropolitain /ID# 277564, Québec, Quebec

Interventions

  • Medication

    Upadacitinib 15mg Dose

    Oral tablet

  • Medication

    Dupilumab 300mg Dose

    Subcutaneous (SC) injection

  • Medication

    Upadacitinib 30mg Dose

    Oral tablet

Canadian Sites (5)

4 of 5 recruiting

  • Dermatology Research Institute - Blackfoot Trail /ID# 270450

    Calgary, Alberta

    Recruiting
  • Stratica Medical /ID# 270466

    Edmonton, Alberta

    Recruiting
  • York Dermatology Clinic & Research Centre /ID# 278847

    Richmond Hill, Ontario

    Recruiting

Eligibility Criteria

See who this study is looking for28 criteria

The trial’s own eligibility text, word for word from the registry. Only the trial site can say who takes part.

Inclusion

  • +Chronic AD with onset of symptoms at least 3 years prior to BaselineBaselineYour starting measurements, taken before treatment begins.Read more → and subject meets Hanifin and Rajka criteria.
  • +Participant meets all the following disease activity criteria at Baseline Visit:
  • +Eczema Area and Severity Index (EASI) score \>= 12;
  • +validated InvestigatorPrincipal investigatorThe doctor or researcher responsible for running the study at a site.Read more →´s Global Assessment for AD (vIGA-AD) score \>= 3;
  • +Body surface area (BSA) involvement of \>= 10% in a majority of subjects (\>= 50% of the overall study population)
  • +Baseline weekly average of daily Worst Pruritus-Numerical Rating Scale (WP-NRS) \>= 4. Note: The Baseline weekly average of daily WP-NRS will be calculated from the 7 consecutive days immediately preceding the Baseline Visit. A minimum of 4 daily scores out of the 7 days is needed.
  • +Inadequate response to dupilumab treatment after at least 4 months of current use.
  • +Particpant has applied a topical emollient (an additive-free, bland emollient moisturizer) twice daily for at least 7 days before the Baseline Visit and for the duration of the study. Note: Subject may use prescription moisturizers or moisturizers containing ceramide, urea, filaggrin degradation products or hyaluronic acid if such moisturizers were initiated before the Screening visitScreeningThe checks done before joining, to see whether a study fits.Read more →.

Exclusion

  • History of an allergic reaction or significant sensitivity to constituents of the study drug (and its excipients) and/or other products in the same class;
  • HIV infection defined as confirmed positive anti- HIV Ab test;
  • Participants with current or past history of infection including, Evidence of Hepatitis B virus (HBV) or Hepatitis C virus (HCV);
  • Meeting any of the following conditions at BaselineBaselineYour starting measurements, taken before treatment begins.Read more →:
  • Other active skin diseases or skin infections (bacterial, fungal, or viral) requiring systemic treatment within 4 weeks of the Baseline Visit or would interfere with assessment of AD lesions;
  • Two or more past episodes of herpes zoster, or one or more episodes of disseminated herpes zoster;
  • One or more past episodes of disseminated herpes simplex (including eczema herpeticum);
  • Active TB or meet TB exclusionary parameters (specific requirements for TB testing are provided in the operations manual);
  • For Japan: Positive result of beta-D-glucan (screeningScreeningThe checks done before joining, to see whether a study fits.Read more → for Pneumocystis jirovecii infection) or two consecutive indeterminate results of beta-D-glucan during the Screening Period;
  • Active infection(s) requiring treatment with intravenous anti-infectives within 30 days, or oral/intramuscular anti-infectives within 14 days prior to the Baseline Visit;
  • Chronic recurring infection and/or active viral infection that, based on the investigatorPrincipal investigatorThe doctor or researcher responsible for running the study at a site.Read more →'s clinical assessment, makes the subject an unsuitable candidate for the study;
  • COVID-19 infection: In subjects who tested positive for COVID-19, at least 5 days must have passed between a COVID-19 positive test result and the Baseline visit of asymptomatic subjects. Subjects with mild/moderate COVID-19 infection can be enrolledEnrolmentThe number of participants a study plans to include, or has included.Read more → if fever is resolved without use of antipyretics for 24 hours and other symptoms improved, or if 5 days have passed since the COVID-19 positive test result (whichever comes last). Subjects may be rescreened if deemed appropriate by the investigator based upon the subject's health status.
  • At Baseline any of the following medical diseases or disorders:
  • Any unstable clinical condition which, in the opinion of the investigator would put the subject at risk by participating in the protocolProtocolThe detailed plan a study must follow.Read more →;
  • Diagnosed active parasitic infection, suspected or high risk of parasitic infection unless clinical (and if necessary) laboratory assessment have ruled out active infection before randomizationRandomisedWhich group you go into is decided by chance, not by you or your doctor.Read more →;
  • History of an organ transplant which requires continued immunosuppression;
  • History of GI perforation (other than due to appendicitis or mechanical injury), diverticulitis, or significantly increased risk for GI perforation per investigator judgment;
  • History of malignancy except for successfully treated NMSC or localized carcinoma in situ of the cervix.
  • Recent (within past 6 months) cerebrovascular accident, myocardial infarction, coronary stenting, and aorto-coronary bypass surgery or venous thromboembolism;
  • Conditions that could interfere with drug absorption including but not limited to short bowel syndrome or gastric bypass surgery including sleeve gastrectomy; subjects with a history of gastric banding/segmentation are not excluded;
5 concepts to explore on this page · up to 1,300 pointsTap any term to learn what it means.

In plain language

Assembled directly from this trial’s registry record. Every sentence traces to a field below — nothing here is generated or interpreted.

Learning 
What this study is

This study is testing a treatment for a condition.

Phase 3Phase 3A large study comparing a treatment against the current standard.Read more → — a large study comparing this against the current standard, usually across many hospitals.

From the trial registry

Built from these fields:

  • designModule.designInfo.primaryPurpose
  • designModule.phases
Who receives what

There are 6 groups in this study.

Groups A and D receive one or more of: Upadacitinib 15mg Dose and Upadacitinib 30mg Dose.

Registry label: A: Period 1: Upadacitinib Open Label Treatment · D: Period 2 Open Label: Upadacitinib ≥ EASI 75 Response

Groups B and E receive Dupilumab 300mg Dose.

Registry label: B: Period 1: Dupilumab Open Label Treatment · E: Period 2 Open Label: Dupilumab ≥ EASI 75 Response

Group C receives Upadacitinib 30mg Dose.

Registry label: C: Period 2 Open Label: Upadacitinib < EASI 75 response

Group F receives Upadacitinib 15mg Dose.

Registry label: F: Period 2 Open Label Period: Dupilumab < EASI 75 Response

From the trial registry

Built from these fields:

  • armsInterventionsModule.armGroups[].label
  • armsInterventionsModule.armGroups[].type
  • armsInterventionsModule.armGroups[].interventionNames
How the study is run

Which group you would be placed in is decided by chance, like a coin flip — not by you and not by your doctor.

This study is open-labelOpen-labelEveryone knows which treatment is being given — nothing is hidden.Read more →: everyone knows which treatment is being given, including you and the study team.

From the trial registry

Built from these fields:

  • designModule.designInfo.allocation
  • designModule.designInfo.maskingInfo.masking
Is there a placebo?

This study does not list a placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → group.

From the trial registry

Built from these fields:

  • armsInterventionsModule.armGroups[].type
  • armsInterventionsModule.armGroups[].interventionNames
Who the study is looking for

The study lists an age range of 18 years to 63 years.

The study is open to people of any sex.

The study does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.

These are the criteria the study lists. Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part.

From the trial registry

Built from these fields:

  • eligibilityModule.minimumAge
  • eligibilityModule.maximumAge
  • eligibilityModule.sex
  • eligibilityModule.healthyVolunteers
How big and how long

The study aims to enrol about 200 people.

The study is currently expected to finish around March 2027.

The main measurement is taken over: At Week 8.

From the trial registry

Built from these fields:

  • designModule.enrollmentInfo.count
  • statusModule.completionDateStruct.date
  • outcomesModule.primaryOutcomes[].timeFrame
What the study measures

Participants who achieve at least a 90% reduction in Eczema Area and Severity Index from BaselineBaselineYour starting measurements, taken before treatment begins.Read more → (EASI 90) — measured over At Week 8.

From the trial registry

Built from these fields:

  • outcomesModule.primaryOutcomes[].measure
  • outcomesModule.primaryOutcomes[].timeFrame

Source: NCT06389136 on ClinicalTrials.gov. The full registry text is further down this page — this summary never replaces it.

Not medical advice. What do these terms mean?

What is being tested — in plain terms

About Upadacitinib 15mg DoseDrug

Oral tablet

From the trial registry — its own words, unedited.

What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.

Read the full explanation → · in clinical review

About Dupilumab 300mg DoseDrug

Subcutaneous (SC) injection

From the trial registry — its own words, unedited.

What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.

Read the full explanation → · in clinical review

About Upadacitinib 30mg DoseDrug

Oral tablet

From the trial registry — its own words, unedited.

What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.

Read the full explanation → · in clinical review

Common questions

Answered from this trial’s registry record. Where the record doesn’t say, these answers say so rather than filling the gap.

Am I eligible for this trial?

Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part. Concord cannot make that determination, and neither can any tool that has not examined you.

What the study lists: an age range of 18 years to 63 years.

The full inclusionInclusion criteriaThe things you must have or be for a study to consider you.Read more → and exclusion criteriaExclusion criteriaThe things that would prevent someone from taking part.Read more → are published on this page, exactly as the study team wrote them.

The useful next step is to bring this trial to your doctor. Answering a few questions first gives them something concrete to review.

From the trial registry
  • eligibilityModule.minimumAge
  • eligibilityModule.maximumAge
  • eligibilityModule.eligibilityCriteria
Is there a placebo?

This study does not list a placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → group.

From the trial registry
  • armsInterventionsModule.armGroups[].type
Would I know which treatment I am getting?

This study is open-labelOpen-labelEveryone knows which treatment is being given — nothing is hidden.Read more →: everyone knows which treatment is being given, including you and the study team.

Which group you would be placed in is decided by chance, like a coin flip — not by you and not by your doctor.

From the trial registry
  • designModule.designInfo.maskingInfo.masking
  • designModule.designInfo.allocation
Who can join?

The study lists an age range of 18 years to 63 years.

It is open to people of any sex.

It does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.

Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can confirm whether a particular person can take part.

From the trial registry
  • eligibilityModule.minimumAge
  • eligibilityModule.maximumAge
  • eligibilityModule.sex
  • eligibilityModule.healthyVolunteers
How long would this take?

The study's main measurement is taken over: At Week 8.

The study as a whole is currently expected to finish around 2027-03.

How long any one person takes part can differ from the study length. The study team can tell you what the schedule looks like in practice.

From the trial registry
  • outcomesModule.primaryOutcomes[].timeFrame
  • statusModule.completionDateStruct.date
How many people are taking part?

The study aims to enrol about 200 people.

From the trial registry
  • designModule.enrollmentInfo.count
Where is this happening?

This study lists 9 locations, including: Calgary, Alberta, Canada; Edmonton, Alberta, Canada; Richmond Hill, Ontario, Canada; Québec, Quebec, Canada; Bay City, Michigan, United States; Detroit, Michigan, United States, and 3 more.

Sites can open and close during a study, so confirm with the team before travelling.

From the trial registry
  • trial_locations

About This Trial

Atopic dermatitis (AD) is a skin condition that may cause a rash and itching due to inflammation of the skin. Therapies spread over the skin may not be enough to control the AD in trial participants who require systemic anti-inflammatory treatment. This study aims to provide data on the efficacy and safety of upadacitinib at different doses in adult participants with moderate to severe AD. Upadacitinib is an approved drug for the treatment of moderate to severe atopic dermatitis (AD). This study is conducted in 2 periods. During Period 1, participants are randomly assigned into 1 of 2 groups called treatment arms to receive upadacitinib 15mg or dupilumab 300mg. Based on the participants response to upadacitinib 15mg, they may have their dose increased to upadacitinib 30mg after 2 weeks. In Period 2, participants that completed Period 1 will either remain on their assigned dose or be reassigned to a different dose based on their Eczema Area and Severity Index (EASI) response. Approximately 200 adult participants ages 18 to less than 64 with moderate to severe AD who are current users of dupilumab and had a history of inadequate response to dupilumab will be enrolled at up to 130 sites worldwide. The study is comprised of a 35-day Screening Period, an 8-week Open-Label Period 1 and a 24-week Open-Label Period 2 for participants that completed Period 1. Participants will receive upadacitinib oral tablets once daily or dupilumab subcutaneous (SC) injection every other week for 32 weeks and followed for 30 days. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Other Sites (6)

Great Lakes Research Group - Bay City /ID# 263535

Bay City, Michigan, United States

Henry Ford Medical Center - New Center One /ID# 263522

Detroit, Michigan, United States

Onyx Clinical Research - Flint - South Linden Road /ID# 267773

Flint, Michigan, United States

Forest Hills Dermatology Group @ Union Turnpike /ID# 263755

Kew Gardens, New York, United States

Equity Medical /ID# 265814

New York, New York, United States

Weill Cornell Medicine /ID# 265793

New York, New York, United States

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This page is for informational purposes only and does not constitute medical advice. Clinical trial eligibility can only be determined by the trial site after proper screening. Trial information is sourced from ClinicalTrials.gov and may not reflect the most current status. Always consult your healthcare provider before making decisions about clinical trial participation.