Clinical trial Recruiting at 2 sites Interventional Ages 6 to 17

Virtual reality game to reduce pain and anxiety during dupilumab injections

Official title: Use of Virtual Reality to Improve Pain and Anxiety Management of Children During Dupilumab Injection for Atopic Dermatitis (VR-DERMA)

Run by St. Justine's Hospital · NCT06182436 · Data updated 2026-11-12

This project will test whether a virtual reality game can reduce pain and anxiety for children aged 6–17 during dupilumab injections for moderate to severe atopic dermatitis.

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Quick facts

Study typeInterventional
Ages6 Years to 17 Years
SexAll
Enrollment98 (estimated)
SponsorSt. Justine's Hospital
Academic / other
Drugs / interventionsdupilumab
Locations2 sites (Montreal, Quebec and 1 other locations)
StatusRecruiting
StartedMay 16, 2024
Main results expectedJanuary 2027
Study endsJanuary 2028
Registry record updatedAugust 24, 2025
Trial IDNCT06182436 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Children aged 6–17 with moderate to severe atopic dermatitis who are receiving or about to start subcutaneous dupilumab and have a parent able to consent in English or French.

Probably not a fit

Children with cognitive impairment preventing VR use, a history of epilepsy, or who cannot sit upright during the procedure are excluded and unlikely to benefit from this intervention.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This within-subject randomized crossover study enrolls children aged 6–17 receiving subcutaneous dupilumab for moderate to severe atopic dermatitis and compares an immersive VR game to standard care during injections. Participants are randomized to receive VR during the first injection and standard care during the second, or vice versa, with passive distraction tools allowed and documented in the standard care visits. Pain and anxiety are measured with validated scales around the injection and adverse events are recorded to compare side-effect rates between conditions. Sessions take place at CHU Sainte-Justine in Montreal and children with cognitive impairment, epilepsy, or unable to sit upright are excluded.

Why it matters

Potential benefit: If successful, the VR game could make injections less painful and stressful for children and improve their injection experience and treatment adherence.

How similar studies have gone: A small number of VR studies in pediatric burn patients have shown reduced procedural pain, but applying VR to dupilumab injections is relatively novel and not well studied.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. between the ages of 6 to 17 years old,
2. suffering from moderate to severe atopic dermatitis and receiving or about to start subcutaneous injections of dupilumab,
3. in the presence of a consenting parent who can understand, read, and write either French or English.

Exclusion Criteria:

1. have a diagnosed cognitive impairment precluding them from playing a virtual reality game,
2. suffer from epilepsy considering the nature of the intervention,
3. cannot be in a sitting position during the procedure as the virtual reality game requires an angle of at least 30 degrees for head-tracking.

Where it's running

  • St. Justine's Hospital
    Montreal, Quebec, Canada
    Recruiting
  • CHU Sainte-Justine
    Montreal, Quebec, Canada
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.