TheraRadar
Data updated: May 26, 2026

DUPIXENT (dupilumab)

Interleukin 4 Receptor alpha Antagonists Genetically Validated Trial Activity: Stable 52 active trials
First-in-Class Breakthrough Therapy Priority Review
Immunology Approved 2017-03-28

DUPIXENT is indicated for the treatment of Atopic Dermatitis; Asthma; Chronic Rhinosinusitis; Eosinophilic Esophagitis; Prurigo Nodularis.

Source: FDA Label • Regeneron • Interleukin-4 Receptor alpha Antagonist

How DUPIXENT Works

Dupilumab is a human monoclonal antibody that binds specifically to the IL-4Rα subunit, which is shared by the interleukin-4 (IL-4) and interleukin-13 (IL-13) receptor complexes. By blocking this subunit, the drug inhibits the signaling of IL-4 and IL-13, two cytokines that play a central role in the pathogenesis of various inflammatory diseases. This inhibition prevents the release of proinflammatory mediators, including cytokines, chemokines, nitric oxide, and IgE, from multiple cell types such as mast cells and eosinophils. Reducing these inflammatory responses helps manage the underlying biological drivers of the conditions for which the drug is approved.

Development Insights

Regeneron Pharmaceuticals conducting 37 trials (28%)
89 indications explored (Broad Platform)
atopic dermatitis (36 trials)
asthma (19 trials)
dermatitis, atopic (8 trials)
20
Indications
--
Phase 3 Trials
12
Priority Reviews
9
Years on Market

Details

Status
Prescription
First Approved
2017-03-28
Patent Cliff
2031
Revenue
$4.7B (Q4-2025)

Pro Metrics

Patent cliff and revenue data

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Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: DUPILUMAB

DUPIXENT Approval History

2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
32 FDA actions from 2017 to 2026 · 19 indication expansions
Apr 2026 SUPPL
Efficacy
Apr 2026 SUPPL
Label · Labeling
Feb 2026 SUPPL Priority
Efficacy

What DUPIXENT Treats

5 indications

DUPIXENT is approved for 5 conditions since its original approval in 2017. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Atopic Dermatitis
  • Asthma
  • Chronic Rhinosinusitis
  • Eosinophilic Esophagitis
  • Prurigo Nodularis
Source: FDA Label

DUPIXENT Target & Pathway

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Target

IL-4 (Interleukin-4) Cytokine

A cytokine that promotes Th2 immune responses and IgE production. IL-4 drives allergic inflammation in atopic dermatitis and asthma. Blocking IL-4 (often together with IL-13) reduces the type 2 inflammation underlying these conditions.

DUPIXENT Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

What's emerging in DUPIXENT's indications

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Phase 3 candidates targeting molecules with no FDA-approved drug, in indications DUPIXENT treats. First-in-class if their pivotal trials read out positive.

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Clinical Trial Registry

125 trials
Trial Sponsor ID Phase Status Title
NCT06477653 10001979 001979-I Ph 2 recruiting Dupilumab as Add-On Therapy for Hypereosinophilic Syndrome With Partial Clinical Response to Eosinophil-Depleting Biologic Agents
NCT06369467 R5458-668-ALG-2219 2024-511032-27-00 Ph 1 recruiting Short-Term Linvoseltamab Treatment on Top of Chronic Dupilumab Treatment for Adults With Severe Immunoglobulin E (IgE)-Mediated Food Allergy
NCT07277322 STUDY-25-01112 PRMC-25-088 IIT Ph 1, Ph 2 not yet recruiting Neoadjuvant Dupilumab and Toripalimab in MSS CRC Subjects With Resectable Liver Metastases
NCT06352073 DESTRICT 23-2625 R668-EE-2380 Ph 4 active not recruiting Dupilumab for Eosinophilic Esophagitis With Severe Strictures
NCT05042258 2021-4161 Ph 4 recruiting Using Dupilumab to Improve Circadian Function, Sleep and Pruritus in Children With Moderate/Severe Atopic Dermatitis
NCT07053423 AEOLUS LPS18583 2025-521268-37, U1111-1314-5262 Ph 4 recruiting A Study to Investigate Airway Inflammation With Dupilumab Subcutaneously in Participants Aged ≥40 to ≤85 Years With Chronic Obstructive Pulmonary Disease.
NCT06572228 AIM4:Next Step R668-AS-2373 2023-510458-18-00 Ph 4 recruiting Efficacy of Dupilumab Added to Medium Dose Inhaled Corticosteroid/Long-acting Beta-agonist (ICS/LABA) in Comparison to ICS Dose Escalation to High Dose ICS/LABA in Adolescent and Adult Patients With Uncontrolled Asthma
NCT05097287 ATLAS LPS16676 U1111-1266-2849, 2024-513423-16 Ph 4 active not recruiting Study Assessing the Long-term Effect of Dupilumab on Prevention of Lung Function Decline in Adult Patients With Uncontrolled Moderate to Severe Asthma
NCT05983068 PELISTAD-EX2 LPS17764 U1111-1280-5813 Ph 4 active not recruiting A Study of Long-term Effect of Dupilumab on Skin Barrier Function in Pediatric Participants With Atopic Dermatitis
NCT05263206 EFC16973 U1111-1253-9888, 2023-508879-36-00 Ph 3 recruiting Efficacy and Safety of Subcutaneous Dupilumab for the Treatment of Adult Participants With Chronic Pruritus of Unknown Origin (CPUO) (LIBERTY-CPUO-CHIC)
NCT07112378 R668-EE-2423 Ph 3 recruiting A Study of Dupilumab in Small Children With an Allergic Condition of the Esophagus (Food Pipe): Eosinophilic Esophagitis
NCT06461897 Start Up M17-380 2023-504713-76-00 Ph 3 recruiting A Study to Assess Adverse Events and Change in Disease Activity Comparing Oral Upadacitinib to Subcutaneous Dupilumab in Children From 2 to Less Than 12 Years of Age With Moderate to Severe Atopic Dermatitis
NCT07027527 APG279-101 Ph 1 active not recruiting An Active Comparator Safety Study Evaluating the Combination of APG777 + APG990 in Moderate-to-Severe Atopic Dermatitis
NCT06191315 EFC14771 2023-504331-41, U1111-1246-7432 Ph 3 recruiting Efficacy and Safety of Subcutaneous Dupilumab in Participants With Asthma/Asthmatic Wheeze Aged 2 to <6 Years (LIBERTY ASTHMA TREKIDS)
NCT06881251 DUPLEX-AD 95475939ADM2001 95475939ADM2001, 2024-517814-13-00 Ph 2 active not recruiting A Study of JNJ-95475939 in the Treatment of Participants With Moderate to Severe Atopic Dermatitis (AD)
NCT06868212 RECLAIM CLOU064AUS02 Ph 3 recruiting A Study to Evaluate Efficacy of Remibrutinib Compared to Dupilumab at Early Timepoints in Adults With Chronic Spontaneous Urticaria Inadequately Controlled by Second Generation H1-antihistamines
NCT07330934 CIBI356A201 Ph 2 recruiting A Study to Evaluate Efficacy and Safety of IBI356 in Participants With Moderate to Severe Atopic Dermatitis
NCT05720325 HSC20220665H 1U01AI158460-01A1 Ph 2 recruiting Dupilumab Effects Against Aeroallergen Challenge
NCT04206553 LIBERTY-BP results posted R668-BP-1902 2019-003520-20, 2024-510745-34-00 Ph 2, Ph 3 completed A Study to Evaluate the Efficacy and Safety of Dupilumab in Adult Patients With Bullous Pemphigoid
NCT03935971 results posted 2018P002882 Ph 4 active not recruiting The Effects of Dupilumab on Allergic Contact Dermatitis
NCT03694158 IDEA P00029072 U01AI143514 Ph 4 active not recruiting Investigating Dupilumab's Effect in Asthma by Genotype
NCT05866562 PEDAL 23-00744 Ph 2 recruiting Dupilumab in the Treatment of Pediatric Alopecia Areata
NCT05436535 LEADS DAIT ADRN-12 Ph 4 completed Longitudinal Endotyping Of Atopic Dermatitis Through Transcriptomic Skin Analysis
NCT05964465 Pro00125142 Ph 4 completed Mechanisms of Smell Improvement With Dupilumab.
NCT07399067 CIBI3002B201 Ph 2 recruiting A Proof-of-Concept Study of IBI3002 in Patients With Moderate to Severe Atopic Dermatitis
NCT06687967 EFC18365 2024-514737-37-00, U1111-1307-7329 Ph 3 active not recruiting A Study to Investigate Improvement in Pruritus of Lichen Simplex Chronicus With Dupilumab Injections Compared With Placebo in Male and Female Participants Aged at Least 18 Years (STYLE 1)
NCT06687980 EFC18366 2024-514762-39, U1111-1310-5045 Ph 3 active not recruiting A Study to Investigate Improvement in Pruritus of Lichen Simplex Chronicus With Dupilumab Injections Compared With Placebo in Male and Female Participants Aged at Least 18 Years (STYLE 2)
NCT07352566 25-43621 Ph 4 not yet recruiting Utilization of a Microdevice for Psoriasis and Atopic Dermatitis
NCT05347771 PANDA DAIT CAUSE-01 Ph 2 active not recruiting Prevention of Asthma Exacerbations Using Dupilumab in Urban Children and Adolescents
NCT06293053 PKM17836 U1111-1287-7255 Ph 3 recruiting A Study to Investigate the Pharmacokinetics and Safety of Dupilumab in Participants ≥6 Months to <18 Years of Age With Prurigo Nodularis
NCT06012448 HUM00227361 Ph 4 completed The Immunologic Effects of Dupilumab in the Treatment of Dermal Hypersensitivity Reaction
NCT04148352 results posted IRB-52976 Ph 2 terminated Dupilumab and Milk OIT for the Treatment of Cow's Milk Allergy
NCT05590585 DISCOVER results posted R668-AD-2217 Ph 4 completed Dupilumab in Adolescent and Adult Skin of Color Participants: Open-label Moderate-to-severe Eczema Trial
NCT06101095 LPS17558 U1111-1280-5266, 2022-502491-23 Ph 4 active not recruiting A Study Assessing Esophageal Function and Remodeling With Dupilumab Compared With Placebo for 24 Weeks Followed by 104 Weeks Open Label in Adult Participants With EoE (REMOdeling With Dupilumab in Eosinophilic Esophagitis Long-term Trial)
NCT05013450 STUDY-21-00907 Ph 1, Ph 2 active not recruiting Dupilumab_Metastatic NSCLC
NCT05731128 ACT17746 U1111-1278-4042 Ph 2 active not recruiting A Study to Investigate the Efficacy and Safety of Dupilumab Therapy Compared With Placebo in Participants Aged ≥18 Years With Moderately to Severely Active Ulcerative Colitis With an Eosinophilic Phenotype (LIBERTY-UC SUCCEED (Study in UC for Clinical Efficacy Evaluation of Dupilumab))
NCT07091175 SMART-NS SMART-NS 01 2024/00054 Ph 2 recruiting Dupilumab Therapy in Nephrotic Syndrome in Children
NCT07187089 BUILD-PEDS R668-AD-2372 Ph 4 withdrawn Study of Growth and Bone Mineral Density in Children With Atopic Dermatitis (AD) Treated With Dupilumab
NCT05526521 results posted PKM16982 U1111-1266-5669, 2022-000260-22 Ph 3 completed A Study to Investigate the Pharmacokinetics and Safety of Dupilumab in Participants ≥2 Years to <12 Years of Age With Uncontrolled Chronic Spontaneous Urticaria (CSU) (LIBERTY-CSU CUPIDKids)
NCT05535738 STUDY00000321 Ph 2, Ph 3 active not recruiting Using a Contact Dermatitis Model With Biologic Medications to Study Skin Inflammation
NCT03293030 results posted Dupilumab Immunogenetics Ph 4 completed Immunogenetic Profiling of Dupilumab for the Treatment of Atopic Dermatitis
NCT05247866 results posted 21-019416 Ph 4 completed Efficacy of Dupilumab on Facilitated Food Introduction in Eosinophilic Esophagitis
NCT04743791 STUDY20020131 Ph 4 recruiting Measuring the Effect of Dupilumab Treatment on Mucociliary Clearance (MCC) in Subjects With Moderate to Severe Asthma
NCT05268107 HUM00201405/Derm 759 Ph 4 recruiting Ethnic Differences in Mechanisms of Action of Dupilumab
NCT04362501 IRB00229130 Ph 2 completed Efficacy of Dupilumab for Patients With Chronic Rhinosinusitis Without Nasal Polyps (CRSsNP)
NCT04394351 EoE KIDS results posted R668-EE-1877 2019-003078-24 Ph 3 completed Study to Investigate the Efficacy and Safety of Dupilumab in Pediatric Patients With Active Eosinophilic Esophagitis (EoE)
NCT04998604 EVEREST results posted LPS16747 U1111-1255-4713, 2021-000829-27 Ph 4 completed EValuating trEatment RESponses of Dupilumab Versus Omalizumab in Type 2 Patients
NCT05831176 ENGAGE R668-EGE-2213 2022-500795-62-00 Ph 2 active not recruiting A Study to Learn How Well Dupilumab Works in Adult and Adolescent Participants With Eosinophilic Gastritis With or Without Eosinophilic Duodenitis and the Side Effects it May Have
NCT06004986 DUPI REDUCE 2023-504171-24-00 Ph 4 recruiting DUPIlumab Dose REDUCtion in Patients With Controlled Atopic Eczema
NCT05878093 results posted EFC17026 U1111-1256-9711 Ph 3 completed Dupilumab in Chinese Adult Participants With CRSwNP

Showing 50 of 125 trials

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Active Pipeline

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

DUPIXENT FDA Label Details

Indications & Usage

FDA Label (PDF)

DUPIXENT is indicated for the treatment of Atopic Dermatitis; Asthma; Chronic Rhinosinusitis; Eosinophilic Esophagitis; Prurigo Nodularis.

Pro Intelligence Preview

Deep insights for DUPIXENT

Revenue Insights

  • Q4-2025: $4.7B
  • Historical trend analysis

Patent Timeline

  • Cliff: 2031
  • Generic/biosimilar risk

Trial Analysis

  • 130 total trials
  • Stage: Stable

Competitive Landscape

  • 20 similar drugs
  • Same target/indication analysis
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Full approval history • All patents • Revenue trends • Competitor analysis

Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment