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度普利尤单抗治疗中度和重度特应性皮炎:真实世界经验

Dupilumab for the treatment of moderate and severe atopic dermatitis: real-life experience.

作者信息

Sroka-Tomaszewska Jowita, Bulińska Barabara, Wilkowska Aleksandra, Nowicki Roman J, Trzeciak Magdalena

机构信息

Department of Dermatology, Venereology and Allergology, Faculty of Medicine, Medical University of Gdansk, Gdansk, Poland.

出版信息

Postepy Dermatol Alergol. 2023 Dec;40(6):747-752. doi: 10.5114/ada.2023.133818. Epub 2024 Jan 8.

DOI:10.5114/ada.2023.133818
PMID:38282886
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10809831/
Abstract

INTRODUCTION

Atopic dermatitis is a relapsing, chronic, inflammatory dermatosis. So far, treatment options for more severe forms of the disease have been limited. The prospect has changed with the advent of biological drug registrations. Dupilumab is a monoclonal antibody targeting the a subunit of the IL-4 receptor and is responsible for blocking the signalling of interleukin (IL) 4 (IL-4) and IL-13. Clinical trials conducted for over 10 years have confirmed the efficacy and safety of dupilumab's treatment for atopic dermatitis.

AIM

Evaluating the efficacy of dupilumab treatment in patients with moderate and severe atopic dermatitis in real life.

MATERIAL AND METHODS

We retrospectively evaluated medical records of patients treated with dupilumab for atopic dermatitis at the Department of Dermatology, Venereology and Allergology in Gdansk.

RESULTS

Ten patients in total were studied. They received dupilumab with standard dosing. The mean percentage reduction in SCORAD score was 52.16% in 8 weeks. Dupilumab was generally well tolerated and did not cause serious side effects. The most common adverse event was conjunctivitis.

CONCLUSIONS

Dupilumab is an effective disease-modifying drug for patients with moderate to severe atopic dermatitis. The effects of treatment in real life are consistent with those demonstrated in clinical trials.

摘要

引言

特应性皮炎是一种复发性、慢性炎症性皮肤病。到目前为止,针对该疾病更严重形式的治疗选择一直有限。随着生物药物注册的出现,这种前景已经改变。度普利尤单抗是一种靶向白细胞介素4(IL-4)受体α亚基的单克隆抗体,负责阻断白细胞介素(IL)4(IL-4)和IL-13的信号传导。超过10年的临床试验证实了度普利尤单抗治疗特应性皮炎的有效性和安全性。

目的

评估度普利尤单抗在现实生活中治疗中度和重度特应性皮炎患者的疗效。

材料和方法

我们回顾性评估了在格但斯克皮肤病、性病和变态反应科接受度普利尤单抗治疗特应性皮炎患者的病历。

结果

总共研究了10名患者。他们接受了标准剂量的度普利尤单抗治疗。8周内SCORAD评分的平均降低百分比为52.16%。度普利尤单抗总体耐受性良好,未引起严重副作用。最常见的不良事件是结膜炎。

结论

度普利尤单抗是一种治疗中度至重度特应性皮炎患者的有效疾病改善药物。现实生活中的治疗效果与临床试验中证明的效果一致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/933b/10809831/347871ed8d74/PDIA-40-52083-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/933b/10809831/1f56b4d03101/PDIA-40-52083-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/933b/10809831/f380bb44be96/PDIA-40-52083-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/933b/10809831/372e440c4f26/PDIA-40-52083-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/933b/10809831/347871ed8d74/PDIA-40-52083-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/933b/10809831/1f56b4d03101/PDIA-40-52083-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/933b/10809831/f380bb44be96/PDIA-40-52083-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/933b/10809831/372e440c4f26/PDIA-40-52083-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/933b/10809831/347871ed8d74/PDIA-40-52083-g004.jpg

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本文引用的文献

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Int J Mol Sci. 2021 Apr 16;22(8):4130. doi: 10.3390/ijms22084130.
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Dupilumab provides favourable long-term safety and efficacy in children aged ≥ 6 to < 12 years with uncontrolled severe atopic dermatitis: results from an open-label phase IIa study and subsequent phase III open-label extension study.度普利尤单抗在 6 岁至<12 岁未得到控制的重度特应性皮炎儿童中提供了良好的长期安全性和疗效:来自开放标签 IIa 期研究和随后的 III 期开放标签扩展研究的结果。
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一项 2 期、开放标签研究,评估单剂量度普利尤单抗在 6 个月至<6 岁患有严重未控制特应性皮炎儿童中的药代动力学、安全性和疗效。
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Use of Dupilumab in 543 Adult Patients With Moderate-to-Severe Atopic Dermatitis: A Multicenter, Retrospective Study.543例中重度特应性皮炎成年患者使用度普利尤单抗的多中心回顾性研究
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