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度普利尤单抗可改善中重度特应性皮炎患者的报告症状、焦虑和抑郁症状以及健康相关生活质量:来自随机试验 SOLO 1 和 SOLO 2 的汇总数据分析。

Dupilumab improves patient-reported symptoms of atopic dermatitis, symptoms of anxiety and depression, and health-related quality of life in moderate-to-severe atopic dermatitis: analysis of pooled data from the randomized trials SOLO 1 and SOLO 2.

机构信息

Sheffield Dermatology Research, Department of Infection and Immunity, University of Sheffield Medical School, Beech Hill, Sheffield, UK.

Sanofi, Chilly-Mazarin, France.

出版信息

J Dermatolog Treat. 2020 Sep;31(6):606-614. doi: 10.1080/09546634.2019.1612836. Epub 2019 Jun 9.

Abstract

Atopic dermatitis (AD) profoundly affects quality of life (QoL). Dupilumab significantly improves clinical outcomes, is well tolerated, and approved to treat inadequately controlled moderate-to-severe AD in adults; however, its effect on patient-reported outcomes (PROs) is not fully characterized. To evaluate the impact of dupilumab on patient-reported AD symptoms and QoL. Pooled data were analyzed from two identically designed phase 3 studies, LIBERTY AD SOLO 1 (NCT02277743) and SOLO 2 (NCT02277769), assessing the following PROs: Peak Pruritus Numerical Rating Scale (NRS), Pruritus Categorical Scale, SCORing AD (SCORAD), Dermatology Life Quality Index (DLQI), Patient-Oriented Eczema Measure (POEM), Hospital Anxiety and Depression Scale (HADS), five-dimension EuroQoL questionnaire (EQ-5D), and patient-assessed disease status and treatment effectiveness. Dupilumab rapidly improved (vs. placebo) Peak Pruritus NRS scores by day 2 ( < .05), anxiety and depression (HADS), and QoL (DLQI) by week 2, and maintained through week 16 ( < .0001). At week 16, more dupilumab-treated than placebo-treated patients reported improvement in SCORAD itch and sleep, and no pain/discomfort (EQ-5D) ( < .0001). Cultural differences of translated PROs. Dupilumab had a significant, positive impact on AD symptoms, including itch, sleep, pain, anxiety and depression, and QoL in adults with moderate-to-severe AD.

摘要

特应性皮炎(AD)严重影响生活质量(QoL)。度普利尤单抗显著改善临床结局,具有良好的耐受性,被批准用于治疗成人中重度 AD 患者;然而,其对患者报告结局(PROs)的影响尚未完全明确。本研究旨在评估度普利尤单抗对患者报告的 AD 症状和 QoL 的影响。对两项设计相同的 III 期研究 LIBERTY AD SOLO 1(NCT02277743)和 SOLO 2(NCT02277769)的汇总数据进行分析,评估以下 PROs:瘙痒峰 NRS、瘙痒类别评分、SCORing AD(SCORAD)、皮肤病生活质量指数(DLQI)、患者导向湿疹测量(POEM)、医院焦虑和抑郁量表(HADS)、五维健康量表(EQ-5D)以及患者评估的疾病状态和治疗效果。度普利尤单抗较安慰剂在第 2 天迅速改善( < .05)瘙痒 NRS 评分,第 2 周改善焦虑和抑郁(HADS)和 QoL(DLQI),并持续至第 16 周( < .0001)。在第 16 周,更多接受度普利尤单抗治疗的患者报告 SCORAD 瘙痒和睡眠、无疼痛/不适(EQ-5D)改善( < .0001)。翻译后的 PROs 存在文化差异。度普利尤单抗对成人中重度 AD 患者的 AD 症状(包括瘙痒、睡眠、疼痛、焦虑和抑郁)和 QoL 具有显著的积极影响。

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