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Prurigo NodularisGLOBOSPINNCT05991323

Real-World Effectiveness of Dupilumab in Patients With Prurigo Nodularis: An Observational Study

An observational study of Prurigo Nodularis, run by Sanofi at 49 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is a prospective, multinational, observational investigation designed to elucidate the real-world effectiveness and treatment patterns of dupilumab therapy in adult patients diagnosed with prurigo nodularis (PN). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Prurigo Nodularis
What is being tested?
Dupilumab
Type of treatment
Injection or infusion
How many people
110 participants
Where
49 sitesin 6 countries
Study dates
12 Dec 2023to 8 Sep 2026
How long will I take part?
18 Months
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Eligible participants who initiate dupilumab treatment for prurigo nodularis (according to the country-specific prescribing information)

Who may be able to join

  • Patients aged 18 years or older at the time of informed consent.
  • Physician decision to treat the patient with dupilumab for prurigo nodularis (according to the country-specific prescribing information) made prior to and independently of the patient's participation in the study.
  • Patients able to understand and complete study-related questionnaires.
  • Patients provide voluntary informed consent to participate in the study before inclusion in the study.

Who cannot join

  • Patients who have a contraindication to dupilumab according to the country-specific prescribing information label.
  • Any condition that, in the opinion of the Investigator, may interfere with the patient's ability to participate in the study, such as short life expectancy, substance abuse, severe cognitive impairment, or other comorbidities that can predictably prevent the patient from completing the schedule of visits and assessments.
  • Patients currently participating in any interventional clinical trial.
  • Prior use of dupilumab within 6 months of the screening visit, or within 6 months of the baseline visit if screening and baseline occur on the same day.

Trial locations and contacts

49 sites in 6 countries.

49 sites in 6 countries

United States23 sites
  • Oakland Hills Dermatology - 3400 Auburn Rd- Site Number : 8400007

    Auburn Hills, Michigan, 48326-3396

  • Total Vein And Skin, LLC- Site Number : 8400019

    Boynton Beach, Florida, 33437-3782

  • Derm Institute of Western Michigan- Site Number : 8400034

    Caledonia, Michigan, 49316-7478

  • Medical University of South Carolina (MUSC) - PPDS- Site Number : 8400001

    Charleston, South Carolina, 29425-8903

  • Allergy Center at Brookstone Research - Centricity Research - PPDS- Site Number : 8400025

    Columbus, Georgia, 31904

  • Duke Dermatology Clinic- Site Number : 8400026

    Durham, North Carolina, 27710-4000

  • Center for Dermatology Clinical Research- Site Number : 8400002

    Fremont, California, 94538

  • North Texas Center for Clinical Research- Site Number : 8400012

    Frisco, Texas, 75034

  • Dermatology Associates Western Michigan- Site Number : 8400033

    Grand Rapids, Michigan, 49546-6204

  • Dawes Fretzin Clinical Research Group-7910 N Shadeland Ave- Site Number : 8400003

    Indianapolis, Indiana, 46250-2041

  • Halcyon Dermatology- Site Number : 8400023

    Laguna Hills, California, 92653

  • Vivida Dermatology - Flamingo- Site Number : 8400013

    Las Vegas, Nevada, 89119

  • Las Vegas Dermatology- Site Number : 8400027

    Las Vegas, Nevada, 89144-0518

  • U.S. Dermatology Partners Lee's Summit- Site Number : 8400016

    Lee's Summit, Missouri, 64064

  • U.S. Dermatology Partners Longview- Site Number : 8400032

    Longview, Texas, 75601

  • Texas Tech University Health Sciences Center-125 W Hague Rd- Site Number : 8400010

    Lubbock, Texas, 79430-0002

  • GSI Clinical Research- Site Number : 8400017

    Margate, Florida, 33063-7011

  • West Virginia Research Institute- Site Number : 8400030

    Morgantown, West Virginia, 26505-1873

  • University of Nebraska - Lauritzen Outpatient Center- Site Number : 8400029

    Omaha, Nebraska, 68105-1026

  • Medical Dermatology Specialists Site Number : 8400005

    Phoenix, Arizona, 85006-2754

  • Saguaro Dermatology Associates, LLC - Probity - PPDS- Site Number : 8400024

    Phoenix, Arizona, 85008-3884

  • Mission Dermatology - Rancho Santa Margarita- Site Number : 8400015

    Rancho Santa Margarita, California, 92688-3623

  • Golden State Dermatology- Site Number : 8400014

    Walnut Creek, California, 94598-3335

Other trials in United States

Canada10 sites
  • Investigational Site Number : 1240004

    Ajax, Ontario, L1S 7K8

  • Investigational Site Number : 1240003

    Barrie, Ontario, L4M 7G1

  • Investigational Site Number : 1240009

    Calgary, Alberta, T2J 7E1

  • Investigational Site Number : 1240007

    Edmonton, Alberta, T5K 2V4

  • Investigational Site Number : 1240006

    Fredericton, New Brunswick, E3B 1G9

  • Investigational Site Number : 1240011

    London, Ontario, N6H 5L5

  • Investigational Site Number : 1240002

    Newmarket, Ontario, L3Y 5G8

  • Investigational Site Number : 1240012

    Surrey, British Columbia, V3R 6A7

  • Investigational Site Number : 1240005

    Toronto, Ontario, M2M 4J5

  • Investigational Site Number : 1240010

    Waterloo, Ontario, N2J 1C4

Other trials in Canada

China9 sites
  • Investigational Site Number : 1560007

    Beijing, 100050

  • Investigational Site Number : 1560005

    Beijing, 100083

  • Investigational Site Number : 1560009

    Guangzhou, Guangdong, 510630

  • Investigational Site Number : 1560008

    Hangzhou, Zhejiang, 311400

  • Investigational Site Number : 1560003

    Jinan, Shandong, 250001

  • Investigational Site Number : 1560006

    Shanghai, 200020

  • Investigational Site Number : 1560002

    Shenzhen, 518000

  • Investigational Site Number : 1560010

    Wenzhou, Zhejiang, 325000

  • Investigational Site Number : 1560004

    Xi'an, Shaanxi, 710004

Other trials in China

Japan3 sites
  • Investigational Site Number : 3920003

    Kyoto, 606-8507

  • Investigational Site Number : 3920004

    Matsudo, 271-0092

  • Investigational Site Number : 3920001

    Obihiro, Hokkaido, 080-0013

Other trials in Japan

France2 sites
  • Investigational Site Number : 2500005

    Brest, Finistère, 29606

  • Investigational Site Number : 2500001

    Nantes, 44000

Other trials in France

Netherlands2 sites
  • Investigational Site Number : 5280001

    Bergen op Zoom, North Brabant, 4624 VT

  • Investigational Site Number : 5280002

    Hoofddorp, North Holland, 2134 TM

Other trials in Netherlands

About this study

Official title: A Prospective Observational Study of Patients Receiving Dupilumab for Prurigo Nodularis

This study is a prospective, multinational, observational investigation designed to elucidate the real-world effectiveness and treatment patterns of dupilumab therapy in adult patients diagnosed with prurigo nodularis (PN).

The primary objective of this study is to comprehensively characterize the real-world usage of dupilumab for the management of PN.

In addition to this, the study aims to achieve several secondary objectives, including a detailed assessment of the medical history, socio-demographic and disease characteristics of dupilumab-treated PN patients, as well as the evaluation of the long-term real-world effectiveness of dupilumab therapy for PN.

Read the detailed description

The follow-up period will be 18 months or until death, loss to follow-up, or withdrawal, whichever comes first.

Being tested
Dupilumab

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DupilumabDrug

    Also called DUPIXENT, SAR231893

    Injection solution; subcutaneous

Study groups in NCT05991323
Study groupRoleWhat they receive
Patient with prurigo nodularisParticipants aged 18 years or older who start receiving dupilumab for prurigo nodularis (according to the country-specific prescribing information) prior to and independently of their participation in the study
Receives: Drug: Dupilumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Frequency of reasons for dupilumab treatment initiation with the description of dosing, frequency and duration of treatment

    Measured: At baseline

  2. Frequency of reasons for dupilumab treatment modifications with the description of the modified treatment

    Measured: From baseline up to month 18

  3. Proportion of patients who discontinued dupilumab

    Measured: From baseline up to month 18

  4. Frequency of reasons for dupilumab treatment discontinuation

    Measured: From baseline up to month 18

  5. Proportion of patients hospitalized due to PN

    Measured: From baseline up to month 18

Secondary outcomes (26)
  1. Baseline Characteristics: PN-related medical history

    (e.g., date of diagnosis, severity, comorbidities)

    Measured: At baseline

  2. Baseline Characteristics: Socio-demographics of PN patients

    (e.g., month and year of birth (where allowed) or age, gender, race (if allowed), ethnicity (if allowed), Fitzpatrick skin type)

    Measured: At baseline

  3. Baseline Characteristics: Type of PN therapies received prior to initiation of dupilumab treatment

    Measured: At baseline

  4. Proportion of patients using concomitant medication

    Measured: At baseline

  5. Proportion of patients with a ≥ four-point improvement (reduction) in Worst Itch Numeric Rating Scale (WI-NRS)

    The WI-NRS is a single-item Patient-Reported Outcomes (PRO). Patients will be asked to report the intensity of their worst pruritus (itch) using the 0 to 10 WI-NRS. Scores range from 0 to 10, with higher scores indicating greater itch intensity.

    Measured: From baseline up to month 18

  6. Mean change in WI-NRS

    The WI-NRS is a single-item Patient-Reported Outcomes (PRO). Patients will be asked to report the intensity of their worst pruritus (itch) using the 0 to 10 WI-NRS. Scores range from 0 to 10, with higher scores indicating greater itch intensity.

    Measured: From baseline up to month 18

  7. Proportion of patients with a ≥ four-point improvement (reduction) in Skin Pain Numeric Rating Scale (NRS)

    The Skin Pain NRS is a single-item Patient-Reported Outcomes (PRO). Patients indicate the intensity of their worst skin pain over the past 24 hours by selecting a number on the scale that ranges from 0 ("No pain") to 10 ("Worst pain imaginable"). Scores range from 0 to10, with higher scores indicating greater pain intensity.

    Measured: From baseline up to month 18

  8. Mean change in Skin Pain NRS

    The Skin Pain NRS is a single-item Patient-Reported Outcomes (PRO). Patients indicate the intensity of their worst skin pain over the past 24 hours by selecting a number on the scale that ranges from 0 ("No pain") to 10 ("Worst pain imaginable"). Scores range from 0 to10, with higher scores indicating greater pain intensity.

    Measured: From baseline up to month 18

  9. Proportion of patients with a ≥ two-point improvement (reduction) in Sleep Disturbance Numeric Rating Scale (NRS)

    The Sleep Disturbance NRS is a single-item Patient-Reported Outcomes (PRO). Patients will be asked to report the severity of their sleep disturbance using a 0 to 10 NRS. Scores range from 0 to10, with higher scores indicating worse sleep quality.

    Measured: From baseline up to month 18

  10. Mean change in Sleep Disturbance NRS

    The Sleep Disturbance NRS is a single-item Patient-Reported Outcomes (PRO). Patients will be asked to report the severity of their sleep disturbance using a 0 to 10 NRS. Scores range from 0 to10, with higher scores indicating worse sleep quality.

    Measured: From baseline up to month 18

  11. Proportion of patients with Patient Global Impression of Change of PN Disease (PGIC) score of "Very much better (improved)"

    The PGIC is a 7-point scale to assess patient health and determine if there has been an improvement or decline in clinical status. Scores range from 1 to 7, with higher score indicating worse health status.

    Measured: From baseline up to month 18

  12. Proportion of patients with PGIC score of "Very much better (improved)" or "Moderately better (improved)"

    The PGIC is a 7-point scale to assess patient health and determine if there has been an improvement or decline in clinical status. Scores range from 1 to 7, with higher score indicating worse health status.

    Measured: From baseline up to month 18

  13. Mean change in PGIC

    The PGIC is a 7-point scale to assess patient health and determine if there has been an improvement or decline in clinical status. Scores range from 1 to 7, with higher score indicating worse health status.

    Measured: From baseline up to month 18

  14. Proportion of patients with Patient Global Impression of Severity of PN Disease (PGIS) score of "None"

    The PGIS is a one-item questionnaire that asks participants to provide the overall self-assessment of their disease severity on a 4-point scale for the past week. Scores range from 1 to 4, with higher score indicating worse symptom severity.

    Measured: From baseline up to month 18

  15. Proportion of patients with PGIS score of "None" or "Mild"

    The PGIS is a one-item questionnaire that asks participants to provide the overall self-assessment of their disease severity on a 4-point scale for the past week. Scores range from 1 to 4, with higher score indicating worse symptom severity.

    Measured: From baseline up to month 18

  16. Mean change in PGIS

    The PGIS is a one-item questionnaire that asks participants to provide the overall self-assessment of their disease severity on a 4-point scale for the past week. Scores range from 1 to 4, with higher score indicating worse symptom severity.

    Measured: From baseline up to month 18

  17. Mean change in Dermatology Life Quality Index (DLQI)

    The DLQI is designed to measure the health-related quality of life of adults with a skin disease. The DLQI consists of 10 questions related to the effect of skin disease over the past week. Overall scoring ranges from 0 to 30, with a high score indicative of a poorer Health-Related Quality of Life (HRQoL)

    Measured: From baseline up to month 18

  18. Mean change in Pruritus Activity Score (PAS)

    The modified PAS is a clinical-reported measure that evaluates the pruritic lesions. The modified questionnaire consists of five items: the type (visible lesions: item 1a; predominant lesions: item1b), estimated number (item 2), distribution (item 3), the representative body area and exact number of lesions (item 4), and the activity in terms of percentage of pruriginous lesions with excoriations/crusts on top (reflecting active scratching; item 5a) and the percentage of healed pruriginous lesions (reflecting healing of chronic prurigo; item 5b). The modified PAS will be completed based on the standard of care clinical assessment.

    Measured: From baseline up to month 18

  19. Proportion of patients with Investigator's Global Assessment-chronic prurigo Activity (IGA-CPG Activity) score of 0 or 1

    The IGA-CPG Activity is an instrument used to assess the overall activity of chronic prurigo lesions at a given time point, as determined by the Investigator. In this context, nodules, papules, plaques and other PN related lesions are defined as pruriginous lesions or chronic prurigo lesions. The instrument consists of a five-point scale ranging from 0 to 4. Higher scores indicate severe CPG.

    Measured: From baseline up to month 18

  20. Mean change in IGA-CPG Activity

    The IGA-CPG Activity is an instrument used to assess the overall activity of chronic prurigo lesions at a given time point, as determined by the Investigator. In this context, nodules, papules, plaques and other PN related lesions are defined as pruriginous lesions or chronic prurigo lesions. The instrument consists of a five-point scale ranging from 0 to 4. Higher scores indicate severe CPG.

    Measured: From baseline up to month 18

  21. Proportion of patients with Investigator's Global Assessment-chronic prurigo Stage (IGA-CPG Stage) score of 0 or 1

    The IGA-CPG Stage is an instrument used to assess the overall number and thickness of chronic prurigo lesions at a given time point, as determined by the Investigator. In this context, nodules, papules, plaques and other PN related lesions are defined as pruriginous lesions or chronic prurigo lesions. The instrument consists of a five-point scale ranging from 0 to 4. Higher scores indicate severe CPG.

    Measured: From baseline up to month 18

  22. Mean change in IGA-CPG Stage

    The IGA-CPG Stage is an instrument used to assess the overall number and thickness of chronic prurigo lesions at a given time point, as determined by the Investigator. In this context, nodules, papules, plaques and other PN related lesions are defined as pruriginous lesions or chronic prurigo lesions. The instrument consists of a five-point scale ranging from 0 to 4. Higher scores indicate severe CPG.

    Measured: From baseline up to month 18

  23. Mean change in EQ-5D-5L

    The EQ-5D-5L comprises of five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The patient is asked to indicate their health state by ticking the box next to the most appropriate statement in each of the five dimensions. This decision results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state.

    Measured: From baseline up to month 18

  24. Mean change in Hospital Anxiety and Depression Scale (HADS) total score

    The HADS is a Patient-Reported Outcomes (PRO) instrument for screening anxiety and depression in non-psychiatric populations. The HADS consists of 14 items, 7 each for anxiety and depression symptoms. Patients select a response from 0 to 3 for each item, based on how they have been feeling in the past week. Scores range from 0 to 21 for each subscale. HADS anxiety (HADS-A) and HADS depression (HADS-D) scores ≤ 7 indicate no clinically relevant symptoms (normal), 8 to 10 borderline abnormal (borderline case), and 11 to 21 abnormal (maximum 21) indicating more severe symptoms.

    Measured: From baseline up to month 18

  25. Proportion of patients reported working, absenteeism score, presenteeism score, and overall impairment working score using the Work Productivity and Activity Impairment (WPAI) questionnaire

    The Work Productivity and Activity Impairment General Health (WPAI-GH) is a 6-item Patient-Reported Outcomes (PRO) instrument that measures the effect of a condition on productivity during work and regular activities in the seven days prior to completion. The instrument comprises 4 domains: absenteeism, presenteeism, overall work impairment, and activity impairment due to health. WPAI-GH outcomes are expressed as impairment percentages, with higher numbers indicating greater impairment and less productivity, i.e., worse outcomes.

    Measured: From baseline up to month 18

  26. Percentage of patients experiencing AEs and SAEs

    Measured: From baseline up to month 18

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Aug 2023
  2. Study start12 Dec 2023
  3. Primary completion8 Sep 2026
  4. Study completion8 Sep 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
110 participants (actual)
Target duration
18 Months
IDs, dates and publications
ClinicalTrials.gov ID
NCT05991323
Sponsor's protocol ID
OBS17721
Other IDs
U1111-1288-8567
Acronym
GLOBOSPIN
Status last verified
Sep 2026
First submitted
19 Jul 2023
Last updated
1 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Questions about this trial

What is this clinical trial studying?

An observational study of Prurigo Nodularis, run by Sanofi at 49 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 49 sites in United States, Canada, China, Japan, France and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Frequency of reasons for dupilumab treatment initiation with the description of dosing, frequency and duration of treatment (time frame: At baseline). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Oct 2026.

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