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  • Dupilumab provides sustaine...
    Zhang, Junfen; Boesjes, Celeste M.; Loman, Laura; Kamphuis, Esmé; Romeijn, Margreet L.E.; Spekhorst, Lotte S.; Haeck, Inge; van der Gang, Lian F.; Dekkers, Coco C.; van der Rijst, Lisa P.; Oosting, Albert J.; van Lumig, Paula; van Lynden-van Nes, Anneke M.T.; Tupker, Ron A.; Nijssen, Annieke; Flinterman, Annebeth; Politiek, Klaziena; Touwslager, Wouter R.H.; Christoffers, Wianda A.; Stewart, Shiarra M.; Kamsteeg, Marijke; de Graaf, Marlies; de Bruin-Weller, Marjolein S.; Schuttelaar, Marie-Louise A.

    Journal of the American Academy of Dermatology, 2024-Apr-21
    Journal Article

    Long-term daily practice data on patient-reported benefits of dupilumab for atopic dermatitis (AD) remains limited. To evaluate patient-reported outcome measures (PROMs) and the safety of dupilumab in patients with moderate-to-severe AD over a follow-up period of up to 5 years. Data were extracted from the prospective, multicenter BioDay registry (October 2017–2022) of patients with moderate-to-severe AD treated with dupilumab in daily practice. In total 1223 patients, 1108 adults and 115 pediatric patients were included. After ≥1 year of treatment, mean Patient-Oriented Eczema Measure (POEM), Dermatology Life Quality Index (DLQI), Numeric rating scale (NRS)-pruritus ranged between 7.8 and 8.7, 3.5 and 4.2, and 2.9 and 3.1 in adults, respectively, whilst these patient-reported outcome measures (PROMs) ranged between 8.9 and 10.9, 4.4 and 6.4, and 3.0 and 3.7 in pediatric patients, respectively. At follow-up, overall work impairment decreased from 40.1% to 16.3% to 13.3% in adults. Furthermore, class I obesity and itch-dominant patients generally had less favorable treatment response. Of all patients, 66.8% reported ≥1 adverse event, with conjunctivitis being the most common (33.7%). The overall percentage of missing values for selected PROMs was 26% in adults and 46% in pediatric patients. In addition to favorable safety, dupilumab has demonstrated sustained effectiveness across various PROMs, underscoring the treatment benefits from patients' perspectives.