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Dupixent

(dupilumab)

Dupixent (dupilumab) blocks IL-4Rα, inhibiting both IL-4 and IL-13 signaling. It is the dominant biologic in atopic dermatitis and asthma, expanding rapidly into COPD, EoE, and prurigo nodularis.

Immunology$10.8B RevenueHigh-growth blockbuster — Expanding indications
Approved Indications
6
AD Market Share
>70%
COPD Exacerbation Reduction
30%
Peak Sales Projection
$15B+ by 2027

Drug Overview

Generic Name
dupilumab
Company
Sanofi / Regeneron
Mechanism
IL-4 receptor α antagonist
Drug Class
Monoclonal antibody — IL-4Rα inhibitor
Route
Subcutaneous injection
Approval Year
2017
Peak Sales Estimate
$15B+ by 2027
Patent Expiry
2029-2031 (estimated)

How It Works

Dupixent binds to IL-4Rα, blocking both IL-4 (Type 1) and IL-13 (Type 2) signaling that drive Type 2 inflammation. Reduces cytokine production, IgE switching, eosinophil recruitment, and mucus without immunosuppression.

Revenue History ($B)

Annual revenue trajectory

Competitor Revenue Comparison ($B)

Revenue of competing drugs in the same class

Approved Indications

6 indications

Key Indications

All approved therapeutic uses

Atopic Dermatitis
Asthma (eosinophilic)
COPD (eosinophilic)
EoE
Prurigo Nodularis
CRSwNP

Market Position

Dupixent is the dominant biologic in atopic dermatitis with >70% share and is rapidly expanding in asthma and COPD. Broadening label across Type 2 diseases creates a unique multi-indication franchise.

Future Outlook

Projected to reach $15B+ by 2027, driven by COPD approval (massive new market), pediatric expansion, and geographic growth. COPD alone opens a $5B+ opportunity.

Competitive Landscape

DrugCompanyRevenue
Adbry (tralokinumab)LEO Pharma$0.5B
Nucala (mepolizumab)GSK$2.0B
Fasenra (benralizumab)AstraZeneca$1.5B
Cibinqo (abrocitinib)Pfizer$0.3B

Approval Timeline

Mar 2017
Atopic dermatitis
FDAModerate-to-severe adults
Oct 2017
Asthma (eosinophilic)
FDAAdd-on maintenance
Jun 2019
CRSwNP
FDAFirst biologic for CRSwNP
May 2022
EoE
FDAFirst drug for EoE
Sep 2022
Prurigo nodularis
FDAFirst drug for PN
Jul 2024
COPD (eosinophilic)
FDAFirst biologic for COPD

Key Clinical Trials

NCT05536341Completed
COPD (BOREAS)
Phase 3939 patients
30% exacerbation reduction
NCT05438234Completed
COPD (NOTUS)
Phase 3935 patients
Positive confirmatory
NCT04152584Completed
EoE
Phase 3240 patients
Significant improvement
Data Sources

Revenue figures from company annual reports (FY2023). Clinical trial data from ClinicalTrials.gov. Competitive intelligence from Evaluate Pharma World Preview 2024 and IQVIA MIDAS. Market analysis by Medifirm Intelledge Global.