Blood Cells Count Derived Inflammation Indexes as Predictors of Early Treatment Response to Dupilumab in Patients with Moderate-to-Severe Atopic Dermatitis.

IgE atopic dermatitis blood cell count dupilumab platelet-to-lymphocyte ratio treatment response

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
07 Mar 2023
Historique:
received: 31 01 2023
revised: 22 02 2023
accepted: 06 03 2023
medline: 30 3 2023
entrez: 29 3 2023
pubmed: 30 3 2023
Statut: epublish

Résumé

Derived inflammatory indexes from routine hematological parameters might be useful for predicting early-response vs. late/non-response to dupilumab, the first biological agent approved for moderate-to-severe atopic dermatitis (AD). We tested this hypothesis by retrospectively investigating the association between pre-specified baseline inflammatory indexes and dupilumab response (≥50% reduction in the Eczema Area and Severity Index, EASI 50) at 4 and 16 weeks in a consecutive series of 66 AD patients (38 males and 28 females). Forty-six patients (69.7%) were early-responders at 4 weeks, whereas the remaining twenty (30.3%) were late/non-responders at 16 weeks. In logistic regression, the platelet-to-lymphocyte ratio (PLR) was independently associated with early-response (OR = 1.0159, 95% CI 1.0005 to 1.0315,

Identifiants

pubmed: 36983107
pii: jcm12062104
doi: 10.3390/jcm12062104
pmc: PMC10056555
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Fondo di Ateneo per la Ricerca
ID : Annualità 2019

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Auteurs

Angelo Zinellu (A)

Department of Biomedical Sciences, University of Sassari, 07100 Sassari, Italy.

Federica Sucato (F)

Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100 Sassari, Italy.

Viviana Piras (V)

Dermatology Unit, Department of Medical Sciences and Public Health, AOU Cagliari, 09123 Cagliari, Italy.

Gian Mario Addis (GM)

Dermatology Unit, Department of Medical Care of San Francesco Hospital, 08100 Nuoro, Italy.

Gabriele Biondi (G)

Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100 Sassari, Italy.

Maria Antonia Montesu (MA)

Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100 Sassari, Italy.

Arduino A Mangoni (AA)

Discipline of Clinical Pharmacology, College of Medicine and Public Health, Flinders University, Adelaide 5042, Australia.
Department of Clinical Pharmacology, Flinders Medical Centre, Southern Adelaide Local Health Network, Bedford Park, Adelaide 5042, Australia.

Ciriaco Carru (C)

Department of Biomedical Sciences, University of Sassari, 07100 Sassari, Italy.

Pietro Pirina (P)

Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100 Sassari, Italy.

Panagiotis Paliogiannis (P)

Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100 Sassari, Italy.

Alessandro G Fois (AG)

Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100 Sassari, Italy.

Rosanna Satta (R)

Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100 Sassari, Italy.

Classifications MeSH