Article

Atopic dermatitis: Patients showing suboptimal response to initial dupilumab may benefit from long-term treatment


 

Key clinical point: Some patients with atopic dermatitis (AD) who failed to achieve ≥75% improvement in Eczema Area and Severity Index (EASI)-75 and Investigator’s Global Assessment score of 0/1 (IGA 0/1) after initial 16-week treatment with dupilumab seemed to benefit from continued long-term treatment.

Major finding: Among patients with a suboptimal 16-week response to dupilumab, 91% achieved EASI-75 by week 100 with 49% of patients receiving initial dupilumab once weekly and 45% on every 2 weeks achieving IGA 0/1 at week 100.

Study details: Findings are a post hoc analysis of 100-week data from dupilumab open-label extension study including 391 adults with moderate-to-severe AD who received 300 mg dupilumab weekly after showing suboptimal response with weekly or every 2 weeks dosing in the parent study.

Disclosures: This study was funded by Sanofi and Regeneron Pharmaceuticals, Inc. Some of the authors declared serving as a consultants, speakers, and investigators or receiving funding and honoraria from various sources. Some of the authors declared being present/former employees or shareholders of Regeneron Pharmaceuticals or Sanofi Genzyme.

Source: Armstrong A et al. Dermatol Ther (Heidelb). 2021 (Dec 13). Doi: 10.1007/s13555-021-00643-4.

Recommended Reading

Longitudinal course of atopic dermatitis often overlooked, expert says
MDedge Dermatology
Key questions to ask atopic dermatitis patients with sleep complaints
MDedge Dermatology
Sorting out sleep complaints in children with AD can be complex
MDedge Dermatology
Hand eczema and atopic dermatitis closely linked
MDedge Dermatology
Atopic Dermatitis: A supplement to Dermatology News
MDedge Dermatology
FDA approves two JAK-1 inhibitors for moderate to severe atopic dermatitis
MDedge Dermatology
Atopic dermatitis: Rapid and sustained disease control with dupilumab
MDedge Dermatology
Atopic dermatitis not associated with low bone mineral density in young adults
MDedge Dermatology
GlcChol levels and GBA activity could serve as biomarkers of therapeutic response in atopic dermatitis
MDedge Dermatology
Upadacitinib and topical corticosteroids combo safe in mild-to-moderate atopic dermatitis
MDedge Dermatology