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  1. Article ; Online: Differential dynamics of TARC during JAK-inhibitor therapy compared to biological therapies targeting type 2 inflammation.

    Boesjes, Celeste M / Bakker, Daphne S / Knol, Edward F / de Graaf, Marlies / van Wijk, Femke / de Bruin-Weller, Marjolein S

    Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology

    2023  Volume 54, Issue 4, Page(s) 294–296

    MeSH term(s) Humans ; Chemokine CCL17 ; Inflammation ; Biological Therapy
    Chemical Substances Chemokine CCL17
    Language English
    Publishing date 2023-12-30
    Publishing country England
    Document type Journal Article
    ZDB-ID 645204-8
    ISSN 1365-2222 ; 0954-7894 ; 0960-2178
    ISSN (online) 1365-2222
    ISSN 0954-7894 ; 0960-2178
    DOI 10.1111/cea.14442
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Real-world Experience of Abrocitinib Treatment in Patients with Atopic Dermatitis and Hand Eczema: Up to 28-week Results from the BioDay Registry.

    Kamphuis, Esmé / Boesjes, Celeste M / Loman, Laura / Kamsteeg, Marijke / Haeck, Inge / Van Lynden-van Nes, Anneke M T / Politiek, Klaziena / Van der Gang, Liana F / De Graaf, Marlies / De Bruin-Weller, Marjolein S / Schuttelaar, Marie L A

    Acta dermato-venereologica

    2024  Volume 104, Page(s) adv19454

    Abstract: Limited daily practice data on the effect of abrocitinib in patients with atopic dermatitis are available. The aim of this multicentre prospective study is to evaluate the effectiveness and safety of abrocitinib in patients with atopic dermatitis treated ...

    Abstract Limited daily practice data on the effect of abrocitinib in patients with atopic dermatitis are available. The aim of this multicentre prospective study is to evaluate the effectiveness and safety of abrocitinib in patients with atopic dermatitis treated in daily practice. In a subgroup, the effectiveness of abrocitinib on hand eczema was evaluated. A total of 103 patients from the BioDay registry were included in the study: week 4 (n = 95), week 16 (n = 61) and week 28 (n = 39). At week 28, the Eczema Area and Severity Index (EASI)-50/75/90 was achieved by 81.8%, 57.6%, and 18.2%, respectively, and the weekly average pruritus numerical rating scale ≤ 4 by 62.9%. The effectiveness of abrocitinib was not significantly different between dupilumab non-responders and dupilumab-naïve patients/responders, and between upadacitinib non-responders and upadacitinib-naïve patients/responders. Mean ± standard deviation Hand Eczema Severity Index decreased from 27.4 ± 27.7 at baseline to 7.7 ± 12.1 at week 28 (n = 31). Thirty-two patients (31.1%) discontinued treatment due to ineffectiveness (n = 17), adverse events (n = 9) or both (n = 3). The most frequently reported adverse event was nausea (n = 28). In conclusion, abrocitinib is an effective treatment for atopic dermatitis and can be effective for patients with previous inadequate response to dupilumab or upadacitinib. Furthermore, hand eczema can improve in patients treated with abrocitinib for atopic dermatitis.
    MeSH term(s) Humans ; Dermatitis, Atopic ; Prospective Studies ; Eczema ; Registries ; Treatment Outcome ; Severity of Illness Index ; Double-Blind Method ; Pyrimidines ; Sulfonamides
    Chemical Substances abrocitinib (73SM5SF3OR) ; Pyrimidines ; Sulfonamides
    Language English
    Publishing date 2024-02-07
    Publishing country Sweden
    Document type Multicenter Study ; Journal Article
    ZDB-ID 80007-7
    ISSN 1651-2057 ; 0001-5555
    ISSN (online) 1651-2057
    ISSN 0001-5555
    DOI 10.2340/actadv.v104.19454
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Dupilumab-Associated Lymphoid Reactions in Patients With Atopic Dermatitis.

    Boesjes, Celeste M / van der Gang, Lian F / Bakker, Daphne S / Ten Cate, Tess A / Spekhorst, Lotte S / de Graaf, Marlies / van Dijk, Marijke R / de Bruin-Weller, Marjolein S

    JAMA dermatology

    2023  Volume 159, Issue 11, Page(s) 1240–1247

    Abstract: Importance: Since the increased use of dupilumab for atopic dermatitis (AD) in daily practice, several cases have been reported on the development of cutaneous T-cell lymphomas (CTCL) and lymphoid infiltrates.: Objective: To provide insight in the ... ...

    Abstract Importance: Since the increased use of dupilumab for atopic dermatitis (AD) in daily practice, several cases have been reported on the development of cutaneous T-cell lymphomas (CTCL) and lymphoid infiltrates.
    Objective: To provide insight in the clinical and histopathologic features of patients with AD clinically suspected for CTCL during dupilumab treatment.
    Design, setting, and participants: This retrospective observational case series included adult (≥18 years) patients with AD treated with dupilumab between October 2017 and July 2022 at the University Medical Center Utrecht in the Netherlands.
    Main outcomes and measures: Relevant patient, disease, and treatment characteristics were evaluated. Skin biopsies before, during, and after treatment were collected and reassessed.
    Results: Fourteen patients (54.5% male) with a median (IQR) age of 56 (36-66) years suspected for CTCL with deterioration of symptoms during dupilumab treatment were included. Of 14 patients, 3 were retrospectively diagnosed with preexistent mycosis fungoides (MF). Eleven patients with AD were eventually diagnosed with a lymphoid reaction (LR). These patients showed MF-like symptoms; however, histopathologic findings were different, and included sprinkled distribution of small hyperchromatic lymphocytes in the upper epidermal section, a dysregulated CD4:CD8 ratio, and CD30 overexpression, without loss of CD2/CD3/CD5. The median time to clinical worsening was 4.0 months (IQR, 1.4-10.0). Posttreatment biopsies showed complete clearance of the LR in all patients.
    Conclusions and relevance: This study found that dupilumab treatment can cause a reversible and benign LR, which mimics a CTCL, though has distinctive histopathologic features.
    MeSH term(s) Adult ; Humans ; Male ; Middle Aged ; Aged ; Female ; Dermatitis, Atopic/diagnosis ; Dermatitis, Atopic/drug therapy ; Retrospective Studies ; Skin Neoplasms/pathology ; Mycosis Fungoides/diagnosis ; Mycosis Fungoides/drug therapy ; Mycosis Fungoides/pathology ; Lymphoma, T-Cell, Cutaneous/pathology
    Chemical Substances dupilumab (420K487FSG)
    Language English
    Publishing date 2023-10-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2701761-8
    ISSN 2168-6084 ; 2168-6068
    ISSN (online) 2168-6084
    ISSN 2168-6068
    DOI 10.1001/jamadermatol.2023.3849
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Effectiveness of Upadacitinib in Patients with Atopic Dermatitis including those with Inadequate Response to Dupilumab and/or Baricitinib: Results from the BioDay Registry.

    Boesjes, Celeste M / Van der Gang, Liana F / Zuithoff, Nicolaas P A / Bakker, Daphne S / Spekhorst, Lotte S / Haeck, Inge / Kamsteeg, Marijke / De Graaf, Marlies / De Bruin-Weller, Marjolein S

    Acta dermato-venereologica

    2023  Volume 103, Page(s) adv00872

    Abstract: Clinical trials showed that upadacitinib, a selective Janus kinase-1 inhibitor, is effective for treatment of moderate-to-severe atopic dermatitis. However, daily practice studies are limited. This multicentre prospective study evaluated the ... ...

    Abstract Clinical trials showed that upadacitinib, a selective Janus kinase-1 inhibitor, is effective for treatment of moderate-to-severe atopic dermatitis. However, daily practice studies are limited. This multicentre prospective study evaluated the effectiveness of 16 weeks of upadacitinib treatment for moderate-to-severe atopic dermatitis in adult patients, including those with previous inadequate response to dupilumab and/or baricitinib, in daily practice. A total of 47 patients from the Dutch BioDay registry treated with upadacitinib were included. Patients were evaluated at baseline, and after 4, 8 and 16 weeks of treatment. Effectiveness was assessed by clinician- and patient-reported outcome measurements. Safety was assessed by adverse events and laboratory assessments. Overall, the probabilities (95% confidence intervals) of achieving Eczema Area and Severity Index ≤ 7 and Numerical Rating Scale - pruritus ≤ 4 were 73.0% (53.7-86.3) and 69.4% (48.7-84.4), respectively. The effectiveness of upadacitinib was comparable in patients with inadequate response to dupilumab and/or baricitinib and in patients who were naïve for these treatments or who had stopped such treatments due to adverse events. Fourteen (29.8%) patients discontinued upadacitinib due to ineffectiveness, adverse events or both (8.5%, 14.9% and 6.4%, respectively). Most frequently reported adverse events were acneiform eruptions (n = 10, 21.3%), herpes simplex (n = 6, 12.8%), nausea and airway infections (both n = 4, 8.5%). In conclusion, upadacitinib is an effective treatment for patients with moderate-to-severe atopic dermatitis, including those with previous inadequate response to dupilumab and/or baricitinib treatment.
    MeSH term(s) Adult ; Humans ; Dermatitis, Atopic/diagnosis ; Dermatitis, Atopic/drug therapy ; Prospective Studies ; Double-Blind Method ; Treatment Outcome ; Severity of Illness Index
    Chemical Substances dupilumab (420K487FSG) ; baricitinib (ISP4442I3Y) ; upadacitinib (4RA0KN46E0)
    Language English
    Publishing date 2023-02-16
    Publishing country Sweden
    Document type Multicenter Study ; Journal Article
    ZDB-ID 80007-7
    ISSN 1651-2057 ; 0001-5555
    ISSN (online) 1651-2057
    ISSN 0001-5555
    DOI 10.2340/actadv.v103.5243
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Muscle and joint pain during dupilumab treatment for atopic dermatitis: Lack of association with antinuclear antibodies.

    Boesjes, Celeste M / van Emst, Madelon / Bakker, Daphne S / Spekhorst, Lotte S / van Wijk, Femke / de Graaf, Marlies / de Bruin-Weller, Marjolein S

    Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology

    2023  Volume 53, Issue 5, Page(s) 582–585

    MeSH term(s) Humans ; Dermatitis, Atopic/drug therapy ; Antibodies, Antinuclear/therapeutic use ; Muscles ; Arthralgia ; Treatment Outcome ; Severity of Illness Index
    Chemical Substances dupilumab (420K487FSG) ; Antibodies, Antinuclear
    Language English
    Publishing date 2023-02-13
    Publishing country England
    Document type Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 645204-8
    ISSN 1365-2222 ; 0954-7894 ; 0960-2178
    ISSN (online) 1365-2222
    ISSN 0954-7894 ; 0960-2178
    DOI 10.1111/cea.14296
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Patient‐centered dupilumab dosing regimen leads to successful dose reduction in persistently controlled atopic dermatitis

    Spekhorst, Lotte S. / Bakker, Daphne / Drylewicz, Julia / Rispens, Theo / Loeff, Floris / Boesjes, Celeste M. / Thijs, Judith / Romeijn, Geertruida L. E. / Loman, Laura / Schuttelaar, Marie‐Louise / van Wijk, Femke / de Graaf, Marlies / de Bruin‐Weller, Marjolein S.

    Allergy 2022 Nov., v. 78, no. 4, p. 3398-3407

    2022  , Page(s) 3398–3407

    Abstract: BACKGROUND: At present, no real‐world studies are available on different dupilumab dosing regimens in controlled atopic dermatitis (AD). The aim of this study was to clinically evaluate a patient‐centered dupilumab dosing regimen in patients with ... ...

    Abstract BACKGROUND: At present, no real‐world studies are available on different dupilumab dosing regimens in controlled atopic dermatitis (AD). The aim of this study was to clinically evaluate a patient‐centered dupilumab dosing regimen in patients with controlled AD and to relate this to serum drug levels and serum biomarkers. METHODS: Ninety adult AD patients from the prospective BioDay registry were included based on their dupilumab administration interval according to a predefined patient‐centered dosing regimen. Group A (n = 30) did not fulfill the criteria for interval prolongation and continued using the standard dupilumab dosage (300 mg/2 weeks), group B (n = 30) prolonged dupilumab interval with 50% (300 mg/4 weeks), and group C (n = 30) prolonged dupilumab interval with 66%–75% (300 mg/6–8 weeks). AD severity score, patient‐reported outcomes, serum dupilumab levels, and serum biomarkers were analyzed over time. RESULTS: Disease severity scores did not significantly change over time during the tapering period in any of the groups. In groups B and C, the Numeric Rating Scale (NRS)‐pruritus temporarily significantly increased after interval prolongation but remained low (median NRS‐pruritus≤4). Median dupilumab levels remained stable in group A (standard dosage), but significantly decreased in groups B and C (24.1 mg/L (IQR = 17.1–45.6); 12.5 mg/L (IQR = 1.7–22.3)) compared with the levels during the standard dosage (88.2 mg/L [IQR = 67.1–123.0, p < .001]). Disease severity biomarker levels (CCL17/CCL18) remained low in all study groups during the whole observation period. CONCLUSIONS: This study showed that dose reduction was successful in a subgroup of patients with controlled AD by using a patient‐centered dosing regimen. These patients showed stable low disease activity and low severity biomarkers over time.
    Keywords adults ; atopic dermatitis ; biomarkers ; blood serum ; disease severity ; drugs
    Language English
    Dates of publication 2022-11
    Size p. 3398-3407
    Publishing place John Wiley & Sons, Inc
    Document type Article ; Online
    Note JOURNAL ARTICLE ; Resource is Open Access ; Wiley License Information
    ZDB-ID 391933-x
    ISSN 1398-9995 ; 0105-4538
    ISSN (online) 1398-9995
    ISSN 0105-4538
    DOI 10.1111/all.15439
    Database NAL-Catalogue (AGRICOLA)

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  7. Article ; Online: Association of Serum Dupilumab Levels at 16 Weeks With Treatment Response and Adverse Effects in Patients With Atopic Dermatitis: A Prospective Clinical Cohort Study From the BioDay Registry.

    Spekhorst, Lotte S / de Graaf, Marlies / Loeff, Floris / Zuithoff, Nicolaas P A / Bakker, Daphne / Boesjes, Celeste M / Thijs, Judith / Achten, Roselie / van Wijk, Femke / Rispens, Theo / de Bruin-Weller, Marjolein S

    JAMA dermatology

    2022  Volume 158, Issue 12, Page(s) 1409–1413

    Abstract: Importance: The registered dose of dupilumab for adult patients with atopic dermatitis (AD) is 300 mg every other week. At present, it is unknown whether serum dupilumab levels are associated with treatment response or adverse effects.: Objectives: ... ...

    Abstract Importance: The registered dose of dupilumab for adult patients with atopic dermatitis (AD) is 300 mg every other week. At present, it is unknown whether serum dupilumab levels are associated with treatment response or adverse effects.
    Objectives: To evaluate serum dupilumab levels at 16 weeks of treatment and to explore the association of serum dupilumab levels with treatment response and adverse effects in patients with AD.
    Design, setting, and participants: This clinical, prospective, observational cohort study used data from the prospective BioDay Registry including adult patients with AD who started dupilumab treatment and for whom a serum sample was available at 16 weeks of treatment. All patients were treated according to the BioDay protocol in the University Medical Center Utrecht in the Netherlands. Patients received a loading dose of dupilumab 600 mg subcutaneously, followed by 300 mg every other week. Patients who had a dose adjustment or discontinued treatment before 16 weeks of treatment were excluded. Data analyses were performed from January to June 2022.
    Main outcomes and measures: Disease severity of AD was assessed at baseline and at weeks 16 and 52 using the Eczema Area and Severity Index (EASI). Treatment response was defined as the percent reduction in EASI score vs the baseline score (eg, EASI 90 indicated a 90% reduction) and as an absolute EASI cutoff score of 7 or lower (controlled AD). Adverse effects were recorded during the first year. At 16 weeks, dupilumab serum levels and treatment responses were measured and analyzed. Multivariate logistic regression modeling was used to determine the prediction of response (EASI 90; EASI ≤7) and adverse effects at 52 weeks, with serum dupilumab levels at 16 weeks in the presence of the covariates age and sex.
    Results: Among the total of 295 patients with AD (mean [SD] age, 41.5 [15.9] years; 170 [57.6%] men), the median (IQR [range]) drug level was 86.6 μg/mL (64.6-110.0 μg/mL [10.1-382.0 μg/mL]) at 16 weeks of treatment. No significant differences were found in serum dupilumab levels between responder statuses (EASI, <50, 50, 75, or 90) at week 16. Multivariate logistic regression analysis showed nonsignificant odds ratios (ORs) for serum dupilumab levels at 16 weeks regarding prediction of long-term response (EASI ≥90: OR, 0.96 [95% CI, 0.90-1.04; P = .34] and EASI ≤7: OR, 1.03 [95% CI, 0.93-1.14; P = .55]) and adverse effects (OR, 1.01 [95% CI, 0.95-1.07; P = .83]).
    Conclusion and relevance: This prospective clinical cohort study found a broad range of serum dupilumab levels at 16 weeks of treatment and no association with treatment response and adverse effects during first year of treatment. Response may be dependent on target availability of the interleukin-4 receptor subunit α, with an interpatient variability producing heterogeneity in response.
    MeSH term(s) Adult ; Male ; Humans ; Female ; Dermatitis, Atopic/drug therapy ; Cohort Studies ; Prospective Studies ; Severity of Illness Index ; Registries ; Treatment Outcome ; Double-Blind Method
    Chemical Substances dupilumab (420K487FSG)
    Language English
    Publishing date 2022-11-02
    Publishing country United States
    Document type Observational Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2701761-8
    ISSN 2168-6084 ; 2168-6068
    ISSN (online) 2168-6084
    ISSN 2168-6068
    DOI 10.1001/jamadermatol.2022.4639
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Daily Practice Experience of Baricitinib Treatment for Patients with Difficult-to-Treat Atopic Dermatitis: Results from the BioDay Registry.

    Boesjes, Celeste M / Kamphuis, Esmé / Zuithoff, Nicolaas P A / Bakker, Daphne S / Loman, Laura / Spekhorst, Lotte S / Haeck, Inge / Kamsteeg, Marijke / Van Lynden-van Nes, Anneke M T / Garritsen, Floor M / Politiek, Klaziena / Oldhoff, Marja / De Graaf, Marlies / Schuttelaar, Marie L A / De Bruin-Weller, Marjolein S

    Acta dermato-venereologica

    2022  Volume 102, Page(s) adv00820

    Abstract: Clinical trials have shown that baricitinib, an oral selective Janus kinase 1/2 inhibitor, is effective for the treatment of moderate-to-severe atopic dermatitis. However, daily practice data are limited. Therefore, this multicentre prospective study ... ...

    Abstract Clinical trials have shown that baricitinib, an oral selective Janus kinase 1/2 inhibitor, is effective for the treatment of moderate-to-severe atopic dermatitis. However, daily practice data are limited. Therefore, this multicentre prospective study evaluated the effectiveness and safety of 16-weeks' treatment with baricitinib in adult patients with moderate-to-severe atopic dermatitis in daily practice. A total of 51 patients from the BioDay registry treated with baricitinib were included and evaluated at baseline and after 4, 8 and 16 weeks of treatment. Effectiveness was assessed using clinician- and patient-reported outcome measurements. Adverse events and laboratory assessments were evaluated at every visit. At week 16, the probability (95% confidence interval) of achieving Eczema Area and Severity Index ≤ 7 and numerical rating scale pruritus ≤ 4 was 29.4% (13.1-53.5) and 20.5% (8.8-40.9), respectively. No significant difference in effectiveness was found between dupilumab non-responders and responders. Twenty-two (43.2%) patients discontinued baricitinib treatment due to ineffectiveness, adverse events or both (31.4%, 9.8% and 2.0%, respectively). Most frequently reported adverse events were nausea (n = 6, 11.8%), urinary tract infection (n = 5, 9.8%) and herpes simplex infection (n = 4, 7.8%). In conclusion, baricitinib can be an effective treatment option for moderate-to-severe atopic dermatitis, including patients with non-responsiveness on dupilumab. However, effectiveness of baricitinib is heterogeneous, which is reflected by the high discontinuation rate in this difficult-to-treat cohort.
    MeSH term(s) Adult ; Humans ; Dermatitis, Atopic/diagnosis ; Dermatitis, Atopic/drug therapy ; Prospective Studies ; Azetidines/adverse effects ; Janus Kinase Inhibitors/adverse effects ; Registries
    Chemical Substances baricitinib (ISP4442I3Y) ; Azetidines ; Janus Kinase Inhibitors
    Language English
    Publishing date 2022-11-24
    Publishing country Sweden
    Document type Multicenter Study ; Journal Article
    ZDB-ID 80007-7
    ISSN 1651-2057 ; 0001-5555
    ISSN (online) 1651-2057
    ISSN 0001-5555
    DOI 10.2340/actadv.v102.3978
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Ocular surface disease is common in moderate-to-severe atopic dermatitis patients.

    Achten, Roselie E / Bakker, Daphne S / van Luijk, Chantal M / van der Wal, Marlot / de Graaf, Marlies / van Wijk, Femke / Zuithoff, Nicolaas P A / van der Rijst, Lisa P / Boesjes, Celeste M / Thijs, Judith L / de Boer, Joke H / de Bruin-Weller, Marjolein S

    Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology

    2022  Volume 52, Issue 6, Page(s) 801–805

    MeSH term(s) Dermatitis, Atopic/diagnosis ; Dermatitis, Atopic/epidemiology ; Humans ; Severity of Illness Index
    Language English
    Publishing date 2022-03-18
    Publishing country England
    Document type Letter
    ZDB-ID 645204-8
    ISSN 1365-2222 ; 0954-7894 ; 0960-2178
    ISSN (online) 1365-2222
    ISSN 0954-7894 ; 0960-2178
    DOI 10.1111/cea.14127
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Dupilumab in daily practice for the treatment of pediatric atopic dermatitis: 28-week clinical and biomarker results from the BioDay registry.

    Kamphuis, Esmé / Boesjes, Celeste M / Loman, Laura / Bakker, Daphne S / Poelhekken, Mila / Zuithoff, Nicolaas P A / Kamsteeg, Marijke / Romeijn, Geertruida L E / van Wijk, Femke / de Bruin-Weller, Marjolein S / de Graaf, Marlies / Schuttelaar, Marie L A

    Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology

    2022  Volume 33, Issue 12, Page(s) e13887

    Abstract: Background: Dupilumab has proven to be an effective and safe treatment for atopic dermatitis (AD) in pediatric patients in clinical trials. However, few daily practice studies are available. The aim of this study is to evaluate the effect of 28 weeks ... ...

    Abstract Background: Dupilumab has proven to be an effective and safe treatment for atopic dermatitis (AD) in pediatric patients in clinical trials. However, few daily practice studies are available. The aim of this study is to evaluate the effect of 28 weeks dupilumab treatment on effectiveness, safety, and serum biomarkers in pediatric patients with moderate-to-severe AD in daily practice.
    Methods: Patients visited the outpatient clinic at baseline, 4, 16, and 28 weeks of treatment. Disease severity was assessed by the Eczema Area and Severity Index (EASI), Investigator Global Assessment (IGA), Numeric Rating Scale (NRS)-pruritus and -pain, and the Patient-Oriented Eczema Measure (POEM). Side effects were evaluated. Nineteen severity-associated serum biomarkers were measured. Predicted-EASI (p-EASI) was calculated.
    Results: Sixty-one patients were included. Respectively 75.4%, 49.2%, and 24.6% reached EASI-50, EASI-75, and EASI-90 and 36.1% achieved an IGA-score (almost) clear. Improvement of ≥4 points on POEM, NRS-pruritus, and NRS-pain was reached by 84.7%, 45.3%, and 77.4%, respectively. Most reported side effects were conjunctivitis (n = 10) and headache (n = 4). Biomarkers TARC, PARC, periostin, sIL-2Ra, and eotaxin-3 significantly decreased during treatment. The p-EASI showed a significant correlation with disease severity.
    Conclusion: Dupilumab treatment significantly improved disease severity and disease-associated symptoms and decreased severity-associated serum biomarkers in pediatric AD patients in daily practice.
    MeSH term(s) Humans ; Child ; Dermatitis, Atopic/drug therapy ; Dermatitis, Atopic/diagnosis ; Treatment Outcome ; Double-Blind Method ; Severity of Illness Index ; Pruritus ; Biomarkers ; Drug-Related Side Effects and Adverse Reactions ; Eczema ; Immunoglobulin A
    Chemical Substances dupilumab (420K487FSG) ; Biomarkers ; Immunoglobulin A
    Language English
    Publishing date 2022-12-23
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1057059-7
    ISSN 1399-3038 ; 0905-6157 ; 0906-5784
    ISSN (online) 1399-3038
    ISSN 0905-6157 ; 0906-5784
    DOI 10.1111/pai.13887
    Database MEDical Literature Analysis and Retrieval System OnLINE

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