Publications by authors named "Piketty C"

Importance: Prurigo nodularis (PN) is a chronic and debilitating skin condition, characterized by intense itch with multiple nodular lesions. Nemolizumab demonstrated significant improvements in itch and skin nodules in adults with moderate to severe PN in a previous 16-week phase 3 study (OLYMPIA 2).

Objective: To assess the efficacy and occurrence of adverse events in adults with moderate to severe PN treated with nemolizumab vs those receiving placebo.

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  • * The trials involved adult and adolescent participants with moderate-to-severe atopic dermatitis and were conducted across 22 countries, comparing the effects of 30 mg of nemolizumab versus a placebo alongside topical corticosteroids.
  • * Key measures included improvements in skin clear-up (IGA score) and eczema severity (EASI-75), as well as pruritus and sleep disturbances at various intervals, with outcomes assessed through masked evaluators.
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  • A patient-focused approach is essential for accurately measuring daily variations in sleep disturbance caused by atopic dermatitis (AD), necessitating validated patient-reported outcome (PRO) measures.
  • A study involved literature reviews and interviews with AD patients, leading to the identification of suitable PRO measures, including a single-item sleep disturbance numerical rating scale (SD NRS) and a multi-item Subject Sleep Diary (SSD).
  • Results indicated that the SD NRS is a reliable and valid measure of sleep disturbance in adults with AD, effectively capturing the complexity of sleep-related issues associated with the condition.
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We described comorbidity, resource utilization, and mortality for patients with prurigo nodularis (PN) using data from the Clinical Practice Research Datalink. Patients with incident PN (2008-2018) were selected and matched to controls. Of 2,416 patients with PN, 2,409 (99.

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  • Prurigo nodularis is a chronic skin disease causing intense itching, and nemolizumab, an IL-31 receptor antagonist, targets its underlying mechanisms.* -
  • In a phase 3 trial, 274 adults with moderate-to-severe prurigo nodularis were given nemolizumab or a placebo for 16 weeks, showing significant improvements in itch and overall skin condition.* -
  • Results revealed that 56.3% of the nemolizumab group reported reduced itching compared to 20.9% in the placebo group, with similar trends observed for other secondary outcomes, demonstrating its efficacy (P<0.001).*
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  • Nemolizumab is a monoclonal antibody that targets the interleukin-31 receptor, helping to reduce itching and inflammation in patients with moderate-to-severe atopic dermatitis (AD).
  • Clinical trials demonstrated that weight-based dosing effectively lessened pruritus with a good safety profile, leading to the development of a flat dosing regimen for easier administration.
  • The selected flat dose of 30 mg, with a 60 mg loading dose every 4 weeks, was supported by pharmacokinetic studies and proved effective in improving symptoms of AD in ongoing phase 3 studies.
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Introduction: Assessing treatment response is key to determining treatment value in atopic dermatitis (AD). Currently, response is assessed using various clinician- or patient-reported measures and response criteria. This variation creates a mismatch of evidence across trials, hindering the ability of clinicians, regulators, and payers to compare the efficacy of treatments.

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Importance: Because of a paucity of qualitative research on prurigo nodularis (PN), the symptoms and impacts of PN that are most important to patients are poorly understood.

Objective: To explore patients' perspectives on their PN symptoms and to understand the impacts of the condition.

Design, Setting, And Participants: One-on-one qualitative telephone interviews were held with English-speaking US adults aged 18 years or older with a confirmed diagnosis of PN, severe pruritus, and moderate to severe sleep disturbance.

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  • This study evaluates the effectiveness of the 11-point peak pruritus numerical rating scale (PP NRS) as a tool for measuring itch severity in individuals with prurigo nodularis (PN).
  • Researchers conducted qualitative interviews with PN patients to assess the content validity of the PP NRS and followed this with a psychometric evaluation using data from a clinical trial.
  • Results showed that participants found the PP NRS easy to understand and that it reliably reflected changes in itch severity, identifying a decrease of 2 to 5 points as a meaningful improvement for patients.
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  • Prurigo nodularis (PN) is a severe skin condition causing intense itching and painful nodules, with nemolizumab emerging as a potential treatment targeting specific inflammatory pathways.
  • A multicenter study evaluated the effectiveness of nemolizumab in reducing symptoms in patients with moderate to severe PN by analyzing changes in plasma protein biomarkers after treatment.
  • The study involved 38 participants, and results indicated significant shifts in protein expression associated with the clinical response to nemolizumab compared to those receiving a placebo.
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  • - Prurigo nodularis (PN) is a chronic skin disease marked by itchy nodules, with neuroimmune factors and scratching playing roles in its development and persistence.
  • - The study uses single-cell RNA-sequencing to explore the molecular processes of PN, differentiating it from atopic dermatitis, and finds that COL11A1 fibroblasts contribute significantly to fibrosis in PN skin.
  • - Nemolizumab, an IL31RA antagonist, shows broad effects on PN cell types, helping to normalize the activity of fibroblasts and keratinocytes involved in the disease.
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  • Sleep disturbance is common in patients with prurigo nodularis (PN), leading to the evaluation of the Sleep Disturbance Numerical Rating Scale (SD NRS) as a way to measure this issue from the patient's perspective.
  • Qualitative interviews with adults who have PN showed that all participants experienced some level of sleep disturbance and most understood the SD NRS, which demonstrated solid reliability and meaningful correlations with other related pruritus measures.
  • The SD NRS is deemed a valid and effective tool for assessing sleep disturbance in PN, and a decrease of 2 to 4 points on its scale indicates a significant change for patients.
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Purpose: Establishing a meaningful within-individual change (MWIC) threshold is a key aspect for interpreting scores used as endpoints for evaluating treatment benefit. A new patient-reported outcome (PRO), a sleep disturbance numerical rating scale (SD NRS), was developed in adults and adolescents with moderate-to-severe atopic dermatitis (AD). This research aims to establish a MWIC threshold of the SD NRS score in the context of a drug development program.

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Background: Patients with prurigo nodularis (PN) have multiple itchy nodules, impaired quality of life and sleep deprivation. Prurigo nodularis patients have a high burden of disease, primarily due to the intensity of the itch. It is reasonable to expect that rapid relief of itch - and associated improvement of sleep - are highly valued clinical outcomes for patients.

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  • Nemolizumab is a monoclonal antibody effective in treating moderate to severe atopic dermatitis (AD) in adolescents, targeting interleukin-31 receptors to alleviate symptoms.
  • In a 16-week open-label study, 20 adolescents (ages 12-17) received nemolizumab, showing significant improvements in rash severity, itching, and sleep disturbances.
  • Pharmacokinetic analysis revealed a stable one-compartment model with a mean half-life of around 16.7 days, and treatment effects were consistent with results in adults, with body weight being the main variable influencing drug levels.
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Background: Prurigo nodularis is a debilitating skin condition that is classified as rare by the Genetic and Rare Diseases Information Center (GARD) and the National Organization for Rare Diseases (NORD). There are currently no estimates of the prevalence of prurigo nodularis in England.

Objectives: We aimed to address this data gap by describing the epidemiology of prurigo nodularis in a representative dataset derived from the English National Health Service.

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  • Prurigo nodularis (PN) is a chronic skin disease that causes severe itching and is linked to immune system and nerve interactions, mainly driven by the cytokine IL-31.
  • The study aimed to analyze gene expression changes in PN skin and evaluate the effects of the anti-IL-31 receptor drug nemolizumab on treatment outcomes.
  • Findings show that nemolizumab reduces IL-31 activity, which alleviates inflammation and improves skin function, suggesting that targeting IL-31 is crucial for managing PN.
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Background: Sleep disturbance (SD) is an important part of the burden of atopic dermatitis (AD), but patient-reported outcomes that are easy to understand and interpret in the target population have been lacking. A daily, single-item, self-reported SD 11-point numerical rating scale (NRS) was recently developed to assess SD for patients with moderate-to-severe AD, but its psychometric properties have not yet been described.

Objectives: To assess the psychometric properties of the SD NRS in patients with moderate-to-severe AD.

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  • Nemolizumab is a humanized anti-IL-31 receptor blocker currently undergoing phase 3 trials for treating moderate-to-severe atopic dermatitis (AD).
  • In a phase 2b trial, patients receiving 30 mg of nemolizumab showed significant improvements in itch relief, sleep disturbances, and dermatitis severity compared to placebo, with noticeable effects starting as early as Day 2.
  • Overall, nemolizumab demonstrated a high efficacy rate and was well-tolerated, with common side effects including nasopharyngitis and upper respiratory infections.
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Background: Eczema phenotypes based on eczema onset and persistence might better identify groups prone to allergic and respiratory conditions than a binary definition of eczema. We examined the associations of childhood eczema phenotypes with allergic sensitization, allergy, asthma and lung function at school age.

Methods: This study among 4277 children was embedded in a multi-ethnic population-based prospective cohort study.

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  • Prurigo nodularis is a chronic skin condition characterized by itchy nodules, and nemolizumab is a monoclonal antibody aimed at reducing itching by targeting a specific receptor.
  • In a 12-week clinical trial with 70 patients, nemolizumab showed significant improvement in itching compared to placebo, with a reduction in pruritus score of 4.5 points versus 1.7 points.
  • While nemolizumab effectively reduced symptoms, it also caused some gastrointestinal and musculoskeletal side effects.
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  • Nemolizumab is a treatment targeting the IL-31 receptor α subunit, which plays a role in atopic dermatitis (AD), aiming to improve symptoms in patients with moderate-to-severe AD.
  • In a 24-week study involving 226 adult participants, different dosages of nemolizumab were compared to a placebo, showing significant improvements in skin severity and itch scores, particularly with the 30 mg dose.
  • Results showed that the 30 mg nemolizumab group experienced the greatest symptom reduction by week 24, while the treatment was generally well tolerated, with mild side effects like nasopharyngitis reported.
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Background: Atopic dermatitis (AD) is a chronic allergic disease typically accompanied by atopy and thus, a tendency to develop allergic diseases such as allergic rhinitis, asthma or food allergies. Currently, individuals with AD are classified into those presenting with AD alone and those presenting with AD along with other allergic diseases (AD+). It is important to identify the various endophenotypes of AD using anthropometric, environmental, socio-economic, and disease history data in order to improve disease management.

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