Clinical Edge Journal Scan

Successful dupilumab dose tapering in controlled atopic dermatitis


 

Key clinical point: Dupilumab dose was successfully tapered while maintaining controlled disease in the majority of patients with atopic dermatitis (AD) using a patient-centered dosing regimen in a large daily practice cohort study.

Major finding: Dose reduction was successful in 83.3% of patients who prolonged dupilumab interval while maintaining controlled disease, with most patients receiving dupilumab every 3 or 4 weeks. Although a significant small increase was observed in the highest mean Eczema Area and Severity Index and Numeric Rating Scale-Pruritis scores (both P < .001), the scores remained low.

Study details: Findings are from a prospective, multicenter study including 595 adult patients with controlled AD treated with dupilumab for ≥1 yearfrom the BioDay registry, of which 401 patients prolonged the dupilumab interval.

Disclosures: The BioDay registry was sponsored by Sanofi, AbbVie, and others. Some authors declared serving as investigators, speakers, advisors, or consultants for various sources, including the BioDay registry sponsors.

Source: Spekhorst LS, Boesjes CM, et al. Successful tapering of dupilumab in atopic dermatitis patients with low disease activity: A large pragmatic daily practice study from the BioDay registry. Br J Dermatol. 2023 (May 13). doi: 10.1093/bjd/ljad159

Recommended Reading

JAK-inhibitor safety in adolescents with AD: Long-term analyses reported
MDedge Dermatology
Commentary: AD, RA, Probiotics, and a New JAK inhibitor, June 2023
MDedge Dermatology
Enthesitis, arthritis, tenosynovitis linked to dupilumab use for atopic dermatitis
MDedge Dermatology
Dupilumab outcomes stable at end of open label atopic dermatitis study
MDedge Dermatology
Abrocitinib remains effective at 96 weeks, in older as well as younger adults
MDedge Dermatology
Advising patients on AD treatment options: Expert pearls
MDedge Dermatology
A live topical biotherapeutic spray improves pruritus in atopic dermatitis
MDedge Dermatology
Atopic dermatitis positively linked with the risk for incident venous thromboembolism
MDedge Dermatology
Crisaborole once daily an effective long-term maintenance therapy for atopic dermatitis
MDedge Dermatology
Switching to upadacitinib from dupilumab improves atopic dermatitis
MDedge Dermatology