Dupilumab for the treatment of atopic dermatitis: real-world data from the Czech Republic BIOREP registry.


Journal

The Journal of dermatological treatment
ISSN: 1471-1753
Titre abrégé: J Dermatolog Treat
Pays: England
ID NLM: 8918133

Informations de publication

Date de publication:
Aug 2022
Historique:
pubmed: 17 2 2022
medline: 16 8 2022
entrez: 16 2 2022
Statut: ppublish

Résumé

Dupilumab has been approved to treat moderate-to-severe atopic dermatitis; however, the data in a real-world setting are still limited. To analyze the effectiveness and safety of dupilumab. This was a real-life Czech multicenter retrospective study from patients treated with dupilumab for severe AD. A total of 360 patients were included. At 16 weeks, 66.6, 34.1, and 5.5% of patients achieved EASI75/90 and EASI100, respectively. Improvement continued with the time, and the proportion of patients with EASI75/90 and EASI100 increased to 89.5, 55.6, and 12.9% after one year of treatment and reached 95.8, 60.4, and 27.1% in the second year of therapy, respectively. A significant reduction was observed in the DLQI scores. The most common adverse events were infections in 5.8% of patients, followed by ocular complications in 2.5% of patients. Persistence rates were 98.2% at four months to 93.1% at month 24, and lack of effectiveness was the most common reason for discontinuation. This real-life study confirmed the effectiveness and safety of dupilumab in a real-life setting during the COVID-19 pandemic. Our study revealed a higher frequency of infections and a lower conjunctivitis frequency than other real-life studies and clinical trials.

Sections du résumé

BACKGROUND UNASSIGNED
Dupilumab has been approved to treat moderate-to-severe atopic dermatitis; however, the data in a real-world setting are still limited.
OBJECTIVE UNASSIGNED
To analyze the effectiveness and safety of dupilumab.
METHODS UNASSIGNED
This was a real-life Czech multicenter retrospective study from patients treated with dupilumab for severe AD.
RESULTS UNASSIGNED
A total of 360 patients were included. At 16 weeks, 66.6, 34.1, and 5.5% of patients achieved EASI75/90 and EASI100, respectively. Improvement continued with the time, and the proportion of patients with EASI75/90 and EASI100 increased to 89.5, 55.6, and 12.9% after one year of treatment and reached 95.8, 60.4, and 27.1% in the second year of therapy, respectively. A significant reduction was observed in the DLQI scores. The most common adverse events were infections in 5.8% of patients, followed by ocular complications in 2.5% of patients. Persistence rates were 98.2% at four months to 93.1% at month 24, and lack of effectiveness was the most common reason for discontinuation.
CONCLUSION UNASSIGNED
This real-life study confirmed the effectiveness and safety of dupilumab in a real-life setting during the COVID-19 pandemic. Our study revealed a higher frequency of infections and a lower conjunctivitis frequency than other real-life studies and clinical trials.

Identifiants

pubmed: 35170381
doi: 10.1080/09546634.2022.2043545
doi:

Substances chimiques

Antibodies, Monoclonal, Humanized 0
dupilumab 420K487FSG

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

2578-2586

Auteurs

Martina Kojanova (M)

Department of Dermatovenereology, First Faculty of Medicine, General University Hospital, Charles University, Prague, Czechia.

Milena Tanczosova (M)

Department of Dermatovenereology, Third Faculty of Medicine, Charles University, Kralovske Vinohrady University Hospital, Prague, Czechia.

Daniela Strosova (D)

Value Outcomes, Prague, Czechia.

Petra Cetkovska (P)

Department of Dermatovenereology, Faculty of Medicine in Pilsen, Charles University, Prague, Czechia.

Jorga Fialova (J)

Department of Dermatovenereology, First Faculty of Medicine, General University Hospital, Charles University, Prague, Czechia.

Tomas Dolezal (T)

Value Outcomes, Prague, Czechia.

Alena Machovcova (A)

Motol University Hospital, Prague, Czechia.

Spyridon Gkalpakiotis (S)

Department of Dermatovenereology, Third Faculty of Medicine, Charles University, Kralovske Vinohrady University Hospital, Prague, Czechia.

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Classifications MeSH