New hope for asthma sufferers: dupilumab may beat higher steroid doses
NCT ID NCT06572228
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether adding the injectable drug dupilumab (Dupixent) to a medium-dose inhaler works better than simply increasing the inhaler dose for people whose asthma is still not under control. About 120 adults with uncontrolled asthma will be randomly assigned to one of two groups. The goal is to see which approach reduces severe asthma attacks and improves breathing, while also tracking side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- dupilumab (Dupixent)
- What this could lead to
- If successful, adding dupilumab to standard inhalers could offer a more effective way to control asthma and reduce severe attacks without needing higher steroid doses.
- What could go wrong
- This is a relatively small Phase 4 study, so results may not apply to all asthma patients. Dupilumab can cause injection-site reactions and other side effects, and the benefit over simply increasing inhaler dose may be modest.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
120 people
The number who actually took part.
- Started
-
Aug 2024
- Expected to finish
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Apr 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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12 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: 1. Diagnosis of asthma for ≥12 months, based on the Global Initiative for Asthma (GINA) 2023 guidance document 2. Existing treatment with medium dose ICS/LABA (\>250 to 500 μg/day of fluticasone propionate DPI or equivalent, per GINA 2023 guidance document) for at least 3 months with a stable dose ≥1 month prior to visit 1 3. Participants requiring a maximum of 3 controllers for their asthma will be considered eligible for this study 4. Pre-bronchodilator FEV1, as defined in the protocol 5. Reversibility of at least 12% and 200 mL in FEV1 after the administration of 200 to 400 μg albuterol/salbutamol at screening OR a documented history of ≥20% reduction in the FEV1, as defined in the protocol 6. Demonstrated adherence to medium dose ICS/LABA on at least 80% of days during the run-in period 7. ACQ-5 score ≥1.5 at screening (visit 1) 8. History of ≥1 severe exacerbation(s) in the previous year before visit 1, but not in the 30 days immediately preceding visit 1 9. Biomarker criteria: Baseline blood eosinophil count ≥300 cells/μL at visit 1 (\~90% of population), as defined in the protocol Key Exclusion Criteria: 1. Diagnosis of chronic obstructive pulmonary disease (COPD) or other lung diseases which may impair lung function and interfere with treatment assessments 2. Clinical evidence of lung disease(s) other than asthma or imaging (Chest X-ray, computed tomography (CT), magnetic resonance imaging \[MRI\]) with significant findings within 12 months of visit 1 and up to and including the baseline visit (visit 3) 3. A participant who experiences a severe asthma exacerbation at any time from 1 month prior to the screening visit (visit 1) up to and including the baseline visit (visit 3), as defined in the protocol 4. Weight is less than 30 kilograms 5. Current smoker or cessation of smoking within 6 months prior to visit 1 or previous smoker with a smoking history ≥10 pack-years 6. Severe concomitant illness(es) that, in the Investigator's judgment, would adversely affect the participant's participation in the study, as defined in the protocol 7. Participants cannot be on systemic corticosteroids at any time from 1 month prior to the screening visit (visit 1) through the duration of the run-in period NOTE: Other protocol-defined Inclusion/Exclusion criteria apply
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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ALL-MED Specjalistyczna Opieka Medyczna Medyczny Instytut Badawczy
Wroclaw, PL-53-201, Poland
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Allergy & Asthma Care of Waco
Waco, Texas, 76712, United States
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Allergy & Asthma Specialists, P.S.C.
Owensboro, Kentucky, 42301, United States
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Allergy Asthma and Clinical Research Center
Oklahoma City, Oklahoma, 73120, United States
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Allergy Clinic NZOZ Homeo Medicus
Bialystok, Podlaskie Voivodeship, 15-687, Poland
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Allianz Research Institute
Westminster, California, 92683, United States
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Antelope Valley Clinical Trials
Lancaster, California, 93534, United States
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Ark Clinical Research, LLC
Long Beach, California, 90815, United States
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Asthma and Allergy Center of Chicago
River Forest, Illinois, 60305, United States
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Baylor College of Medicine - Section of Pulmonary and Critical Care
Houston, Texas, 77030, United States
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Bensch Clinical Research
Stockton, California, 95207, United States
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Bluegrass Allergy Research
Lexington, Kentucky, 40509, United States
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Centrum Medycyny Oddechowej Mroz SJ
Bialystok, Podlaskie Voivodeship, 15-044, Poland
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Centrum Medyczne All-Med
Krakow, Lesser Poland Voivodeship, 30-033, Poland
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Certified Research Associates
Cortland, New York, 13045, United States
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Childrens Hospital of Orange County Main Campus
Orange, California, 92868, United States
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Cincinnati Childrens Hospital and Medical Center
Cincinnati, Ohio, 45229, United States
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Clinical Research Associates of Central PA
DuBois, Pennsylvania, 15801, United States
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Clinical Research Institute, Inc.
Minneapolis, Minnesota, 55402, United States
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Clinical Site Partners, LLC DBA Flourish Research
Winter Park, Florida, 32789, United States
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Clinique de Specialisee en Allergie de la Capitale
Québec, G1V 4W2, Canada
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Dharma MD PA d/b/a Southwest Family Medicine Associates
Dallas, Texas, 75235, United States
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Diamond Clinic sp zoo
Krakow, Malopolska, 31-559, Poland
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Dr. Syed Anees Medicine Professional Corporation
Windsor, Ontario, N8X 1T3, Canada
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Dynamic Drug Advancement Ltd.
Ajax, Ontario, L1S 2J5, Canada
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Endeavor Health, Skokie Campus
Skokie, Illinois, 60077, United States
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European Trial Group (ETG) Warsaw
Warsaw, Mazovian, 02-677, Poland
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Evidence Based Medical Educator Inc.
Toronto, Ontario, M5G 1E2, Canada
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Family Allergy and Asthma Research Institute
Louisville, Kentucky, 40217, United States
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Florida Lung, Asthma and Sleep Specialists (FLASS) - Celebration
Kissimmee, Florida, 34746, United States
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Henderson Clinical Trials
Henderson, Nevada, 89052, United States
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Henry Ford Hospital
Detroit, Michigan, 48202, United States
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IKF Pneumologie Frankfurt GmbH & Co KG
Frankfurt am Main, Hesse, 60596, Germany
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IKF Pneumologie GmbH & Co. KG
Mainz, 55128, Germany
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Inova Fairfax Hospital
Falls Church, Virginia, 22042, United States
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Inspiration Research Limited
Toronto, Ontario, M5T 3A9, Canada
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Institut Universitare de Cardiologie et de Pneumologie de Quebec (IUCPQ) - Universite Laval
Québec, G1V 4G5, Canada
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Integrated Research of Inland, Inc.
Upland, California, 91786, United States
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Intermountain Medical Center - Murray (Pulmonary Medicine)
Murray, Utah, 84107, United States
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KPPK Studienzentrum
Koblenz, Rhineland-Palatinate, 56068, Germany
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Kern Research, Inc
Bakersfield, California, 93301, United States
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LMU University Hospital Munich
Munich, Bavaria, 81377, Germany
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Lekarze Specjaliści Małolepszy i Partnerzy
Wroclaw, 54239, Poland
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Lung Sleep Research Institute
North Richland Hills, Texas, 76180, United States
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Lungenpraxis Hohenzollerndamm RCMS
Berlin, 10717, Germany
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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Metroplex Pulmonary and Sleep Center, PA
McKinney, Texas, 75069, United States
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Michał Bogacki - DOBROSTAN
Wroclaw, Lower Silesian Voivodeship, 53301, Poland
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Michigan Medicine
Ann Arbor, Michigan, 48109, United States
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Modena Allergy & Asthma, Inc.
La Jolla, California, 92037, United States
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Montana Medical Research
Missoula, Montana, 59808, United States
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National Jewish Health
Denver, Colorado, 80206, United States
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New York Medical College
Hawthorne, New York, 10532, United States
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Newport Native Md, Inc.
Newport Beach, California, 92663, United States
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Northwell Health at ENT & Allergy Associates
New York, New York, 10016, United States
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POIS Sachsen GmbH iG
Leipzig, 04347, Germany
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PRCCI Clinical Research Center
San Juan, 00927, Puerto Rico
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Paul A. Shapero, M.D.
Bangor, Maine, 04401, United States
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Praxis fur Pneumologie am Duako
Augsburg, Bavaria, 86150, Germany
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Premier Pulmonary Critical Care and Sleep Medicine
Denison, Texas, 75020, United States
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Pulmonology Associates Inc.
Wynnewood, Pennsylvania, 19096, United States
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Raffi Tachdjian MD, Inc.
Santa Monica, California, 90404, United States
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Rochester Regional Health - Alexander Park - Allergy, Immunology & Rheumatology
Rochester, New York, 14607, United States
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Sneeze Wheeze and Itch Associates
Normal, Illinois, 61761, United States
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South Texas Allergy & Asthma Medical Professionals (STAAMP) Research
San Antonio, Texas, 78229, United States
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St Francis Medical Institute
Clearwater, Florida, 33765, United States
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Texas Children's Hospital
Houston, Texas, 77030, United States
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The Asthma and Allergy Center
Bellevue, Nebraska, 68123, United States
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The Lung Centre at Vancouver General Hospital
Vancouver, British Columbia, V5Z 1M9, Canada
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Treasure Valley Medical Research
Boise, Idaho, 83706, United States
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University of Kansas Medical Center
Kansas City, Kansas, 66160, United States
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University of Pittsburgh Asthma and Environmental Health Lung Institute
Pittsburgh, Pennsylvania, 15213, United States
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Uniwersyteckie Centrum Kliniczne, Budynek Centrum Medycyny Nieinwazyjnej
Gdansk, Pomeranian Voivodeship, 80-214, Poland
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Vejle Sygehus
Vejle, Region Syddanmark, 7100, Denmark
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Velocity Clinical Research Lubeck GmbH (Formerly KLB Gesundheitsforschung Lübeck GmbH)
Lübeck, Schleswig-Holstein, 23552, Germany
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Washington University School of Medicine
St Louis, Missouri, 63119, United States
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Western Sky Medical Research
El Paso, Texas, 79912, United States
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