Predictive Factors of Early Response to Dupilumab in Patients with Moderate-to-Severe Atopic Dermatitis.

J Clin Med

Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.

Published: October 2023

AI Article Synopsis

  • * Key predictors of achieving better results (defined as an EASI score of ≤ 7) within 4 weeks included specific disease phenotypes like classic lichenoid and inflammatory types, as well as lower baseline EASI scores.
  • * The findings emphasize the significance of starting biological treatments early for patients with AD to improve their chances of achieving mild disease levels quickly.

Article Abstract

Efforts have been made to identify factors influencing clinical response in patients with atopic dermatitis (AD) treated with dupilumab. A retrospective single-center observational study was carried out by analyzing data from 492 patients aged 12 years and older with moderate-to-severe AD. The study aimed to identify baseline demographic and clinical factors that could predict the achievement of a mild level of disease, i.e., an Eczema Area and Severity Index (EASI) ≤ 7, within 4 weeks from dupilumab initiation. Classic, generalized lichenoid and inflammatory phenotypes compared with a nummular eczema phenotype (OR = 6.9, 95% CI 2.04-23.48 and OR = 4.22, 95% CI 1.22-14.66, respectively) and a baseline EASI ≤ 24 and between 24-29, compared with a baseline EASI ≥ 29 (OR = 3.1, 95% CI 1.81-5.41 and OR = 1.8, 95% CI 1.05-3.07, respectively), were found to be predictive factors of early response to dupilumab, highlighting the importance of early biological treatment of AD.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10607560PMC
http://dx.doi.org/10.3390/jcm12206575DOI Listing

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