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度普利尤单抗在儿科皮肤病学中的应用。

Dupilumab in pediatric dermatology.

机构信息

Dermatology Department, University of Patras, Greece, University General Hospital of Patras, Rio, Greece.

出版信息

J Dermatolog Treat. 2022 Mar;33(2):682-684. doi: 10.1080/09546634.2020.1789049. Epub 2020 Jul 7.

DOI:10.1080/09546634.2020.1789049
PMID:32602761
Abstract

BACKGROUND

Dupilumab is a monoclonal antibody that targets the interleukin (IL)-4 receptor alpha subunit of the IL-4 and IL-13 receptor. This novel agent has received a license for the treatment of moderate-to-severe atopic dermatitis in patients aged ≥12 years. However, data on the dupilumab use in the pediatric population are still extremely limited. This report aims to summarize the existing data on the on- and off-label use of dupilumab for dermatologic conditions in children and adolescents.

MATERIALS AND METHODS

The current study is an overview of all the reported evidence on dupilumab for dermatologic conditions in the pediatric population. MEDLINE (PubMed), clinicaltrial.gov databases and SCOPUS were thoroughly scanned for related articles.

RESULTS

A small number of clinical trials, case series and case reports, that indicate a satisfactory therapeutic outcome for dupilumab in pediatric patients for certain dermatologic conditions, is present in the literature.

CONCLUSION

More long-term studies in larger patient groups are necessary so as to be able to draw definite conclusions concerning the efficacy and safety of dupilumab in pediatric patients with skin diseases.

摘要

背景

度普利尤单抗是一种单克隆抗体,靶向白细胞介素(IL)-4 受体α亚基的 IL-4 和 IL-13 受体。这种新型药物已获得用于治疗 12 岁及以上中重度特应性皮炎患者的许可。然而,儿科人群中度普利尤单抗使用的数据仍然极其有限。本报告旨在总结度普利尤单抗在儿科人群中用于皮肤科疾病的标签内和标签外使用的现有数据。

材料和方法

本研究是对儿科人群中所有关于度普利尤单抗治疗皮肤科疾病的报道证据的综述。对 MEDLINE(PubMed)、clinicaltrial.gov 数据库和 SCOPUS 进行了全面检索,以查找相关文章。

结果

文献中存在少数临床试验、病例系列和病例报告,表明度普利尤单抗在儿科患者的某些皮肤科疾病中具有令人满意的治疗效果。

结论

需要进行更多针对更大患者群体的长期研究,以便能够对皮肤病患儿使用度普利尤单抗的疗效和安全性得出明确结论。

相似文献

1
Dupilumab in pediatric dermatology.度普利尤单抗在儿科皮肤病学中的应用。
J Dermatolog Treat. 2022 Mar;33(2):682-684. doi: 10.1080/09546634.2020.1789049. Epub 2020 Jul 7.
2
Safety of dupilumab in patients with atopic dermatitis: expert opinion.治疗特应性皮炎患者的度普利尤单抗的安全性:专家意见。
Expert Opin Drug Saf. 2021 Sep;20(9):997-1004. doi: 10.1080/14740338.2021.1939673. Epub 2021 Jun 19.
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Dupilumab in Inflammatory Skin Diseases: A Systematic Review.度普利尤单抗治疗炎症性皮肤病:系统评价。
Biomolecules. 2023 Mar 31;13(4):634. doi: 10.3390/biom13040634.
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[Dupilumab: beyond atopic dermatitis, off-label use in dermatology].
Rev Med Suisse. 2023 Mar 29;19(820):606-613. doi: 10.53738/REVMED.2023.19.820.606.
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Off-label use of dupilumab for pediatric patients with atopic dermatitis: A multicenter retrospective review.地氯雷他定在特应性皮炎患儿中的超适应证使用:一项多中心回顾性研究。
J Am Acad Dermatol. 2020 Feb;82(2):407-411. doi: 10.1016/j.jaad.2019.10.010. Epub 2019 Oct 10.
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Real-world experience of dupilumab treatment for atopic dermatitis in adults: a retrospective analysis of patients' records.真实世界中成人特应性皮炎患者接受度普利尤单抗治疗的经验:患者病历的回顾性分析。
Int J Dermatol. 2020 Feb;59(2):253-256. doi: 10.1111/ijd.14573. Epub 2019 Jul 8.
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The Application of Dupilumab to Pediatric Patients Aged 6-11yrs with Moderate-to-Severe Atopic Dermatitis Whose Disease is Not Adequately Controlled: The Clinical Data so Far.度普利尤单抗在 6-11 岁中重度特应性皮炎且疾病控制不佳的儿童患者中的应用:迄今为止的临床数据。
Drug Des Devel Ther. 2023 May 1;17:1323-1327. doi: 10.2147/DDDT.S281626. eCollection 2023.
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Dupilumab use in atopic dermatitis and beyond in skin diseases.度普利尤单抗在特应性皮炎及皮肤病中的应用。
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Dupilumab shows long-term safety and efficacy in patients with moderate to severe atopic dermatitis enrolled in a phase 3 open-label extension study.度普利尤单抗在接受 3 期开放标签扩展研究的中重度特应性皮炎患者中显示出长期安全性和疗效。
J Am Acad Dermatol. 2020 Feb;82(2):377-388. doi: 10.1016/j.jaad.2019.07.074. Epub 2019 Jul 30.
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Management of dupilumab-associated ocular surface diseases in atopic dermatitis patients.特应性皮炎患者度普利尤单抗相关眼表疾病的管理。
Swiss Med Wkly. 2021 Aug 20;151:w30020. doi: 10.4414/SMW.2021.w30020.

引用本文的文献

1
Dupilumab: Direct Cost and Clinical Evaluation in Patients with Atopic Dermatitis.度普利尤单抗:特应性皮炎患者的直接成本与临床评估
Dermatol Res Pract. 2023 Feb 15;2023:4592087. doi: 10.1155/2023/4592087. eCollection 2023.