Dupixent's Breakthrough in Skin of Color Dermatitis Positions Regeneron/Sanofi for Explosive Growth

Nathaniel StoneMonday, Jun 9, 2025 5:43 am ET
7min read

The DISCOVER trial's results, unveiled at the 2025 Revolutionizing Atopic Dermatitis (RAD) Conference, have cemented Dupixent's (dupilumab) position as a transformative therapy for atopic dermatitis (AD) in patients with darker skin tones—a demographic historically underserved by clinical research. With a 76% EASI-75 improvement rate in this population,

(REGN) and Sanofi's (SNY) collaboration has not only addressed critical unmet needs but also unlocked a multibillion-dollar opportunity. This trial is a catalyst for regulatory expansion, pipeline de-risking, and sustained growth, making the duo a compelling buy ahead of anticipated FDA updates.

A $10B+ Market, Finally Accessible to All Skin Tones

The global atopic dermatitis market is projected to surpass $10 billion by 2027, driven by rising awareness and biologic adoption. However, treatments historically underperformed in darker skin tones, where hyperpigmentation and dryness—rather than redness—are dominant symptoms. This clinical blind spot left millions of patients with skin of color (Fitzpatrick types IV–VI) undertreated or misdiagnosed. The DISCOVER trial shatters this gap:

  • 76% of patients achieved EASI-75 improvement at 24 weeks, matching the efficacy seen in lighter-skinned populations.
  • 53% saw clinically meaningful itch relief, addressing a core symptom that plagues quality of life.
  • Post-inflammatory hyperpigmentation dropped by 53%, resolving a cosmetic concern disproportionately impacting darker skin tones.

These outcomes validate Dupixent's ability to address the unique pathophysiology of AD in underrepresented groups, opening doors to a segment of the market that has been untapped until now.

Regulatory Validation: Label Expansion and Synergy Potential

The FDA and EMA are likely to expand Dupixent's label to explicitly include patients with skin of color, a move that could accelerate adoption. The trial's design—open-label, single-arm, with 120 patients—was rigorous enough to meet Phase 4 standards, and the data align with the FDA's push for diversity in clinical trials. A label update, expected by late 2025, would:

  1. Reduce pipeline risk: The trial's success eliminates doubts about Dupixent's efficacy in diverse populations, a critical hurdle for long-term sales.
  2. Drive market penetration: By addressing hyperpigmentation and dryness, Dupixent can dominate a niche where no competing biologics (e.g., Pfizer's abrocitinib, Amgen's tezepelumab) have demonstrated equivalent results.
  3. Leverage existing synergies: Dupixent's approval in asthma, nasal polyps, and eosinophilic esophagitis creates a cross-condition salesforce synergy, enabling Regeneron/Sanofi to cross-promote its use across 20+ million U.S. AD patients.

Why Investors Should Buy Now

The DISCOVER trial has already begun reshaping investor sentiment. While Regeneron's stock dipped slightly in early 2025 on macroeconomic fears, the recent data has spurred a rebound. The trial's presentation at RAD likely marked a bottom for the stock's valuation. Key catalysts ahead:

  • Label expansion: A positive FDA decision could add $2–$3 billion in annual revenue by 2030.
  • Global market expansion: The trial's focus on ethnic diversity positions Dupixent as a leader in regions like Asia and Africa, where skin of color is predominant.
  • Pipeline confidence: The trial's success reduces execution risk for future studies, boosting the valuation of Regeneron's broader pipeline (e.g., gevokizumab for wet AMD).

Risks and Considerations

Competition remains fierce. Pfizer's JAK inhibitor, abrocitinib, offers comparable efficacy but lacks the skin-of-color data, while Amgen's tezepelumab targets a different pathway. However, Dupixent's unique profile in hyperpigmentation and dryness creates a defensible niche.

Final Analysis: Buy Ahead of the Surge

The DISCOVER trial isn't just a win for patients—it's a value-creation moment for Regeneron and Sanofi. By unlocking a $10B+ market segment and securing regulatory validation, the duo has minimized risks while amplifying upside. With the stock price poised to reflect these tailwinds, investors should position themselves ahead of the FDA's decision. This is a rare opportunity to buy a dominant biologic at a valuation discount, with years of growth ahead.

Recommendation: Buy REGN and SNY. Monitor for FDA updates in Q4 2025 and prepare for a potential 20–30% upside in 12 months.