Evidence map›Paper›PMID 33010038›Full record

ArticleAllergy2021

Dupilumab is effective in type 2-high asthma patients receiving high-dose inhaled corticosteroids at baseline.

Arnaud Bourdin, Alberto A Papi, Jonathan Corren, J Christian Virchow, Megan S Rice, Yamo Deniz, Michel Djandji, Paul Rowe, Ian D Pavord

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Allergy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
3.5field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01854047 phase2completednot on this map

A Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging Study to Evaluate Dupilumab in Patients With Moderate to Severe Uncontrolled Asthma

TypeinterventionalSponsorSanofiRan2013 to 2015Enrolled776ConditionsAsthmaArmsDupilumab, placebo, ICS/LABA therapy, Salbutamol/albuterol, Levosalbutamol/levalbuterol
NCT02414854 phase3completednot on this map

A Randomized, Double Blind, Placebo-Controlled, Parallel Group Study to Evaluate the Efficacy and Safety of Dupilumab in Patients With Persistent Asthma

TypeinterventionalSponsorSanofiRan2015 to 2017Enrolled1,902ConditionsAsthmaArmsDupilumab, Placebo, Inhaled corticosteroid (ICS) therapy, Albuterol/Salbutamol, Levalbuterol/Levosalbutamol
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Dupilumab Efficacy and Safety in Patients With Persistent Asthma: Asia-Pacific Region.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2025
    Trial
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Consensus on the management of united airways disease with type 2 inflammation: a multidisciplinary Delphi study.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2023
    Article
  11. Article
  12. Review
  13. Review
  14. Variability ofThe World Allergy Organization journal · 2021
    Article
  15. Review
  16. Review
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 5 countries.

Arnaud BourdinDepartment of Respiratory Diseases, INSERM U1046, University of Montpellier, Montpellier, France.ORCID 0000-0002-4645-5209
Alberto A PapiUniversità degli Studi di Ferrara, Ferrara, Italy.
Jonathan CorrenDavid Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
J Christian VirchowUniversitätsmedizin Rostock, Rostock, Germany.ORCID 0000-0003-4291-1956
Megan S RiceSanofi, Cambridge, MA, USA.
Yamo DenizRegeneron Pharmaceuticals, Inc., Tarrytown, NY, USA.
Michel DjandjiSanofi, Cambridge, MA, USA.
Paul RoweSanofi, Bridgewater, NJ, USA.
Ian D PavordUniversity of Oxford, Oxford, UK.
Sanofi (United States) · USInserm · FRRegeneron (United States) · USUniversitätsmedizin Rostock · DEUniversity of California, Los Angeles · USUniversity of Ferrara · ITUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDupilumab blocks the shared receptor component for interleukin (IL)-4/IL-13, key drivers of type 2 inflammation. In phase 2b (NCT01854047) and phase 3 LIBERTY ASTHMA QUEST (NCT02414854), add-on dupilumab 200/300 mg every 2 weeks (q2w) reduced severe exacerbations, improved prebronchodilator (pre-BD) forced expiratory volume in 1 second (FEV

methodsIn patients on high-dose inhaled corticosteroids (ICS) with type 2-high asthma (subgroups including baseline blood eosinophils ≥150/300 cells/µL and/or fractional exhaled nitric oxide [FeNO] ≥25 ppb), annualized severe exacerbation rates over the treatment period, changes from baseline in pre-BD FEV

resultsIn high-dose ICS type 2-high subgroups, dupilumab 200/300 mg q2w vs placebo in the phase 2b (24 weeks) and phase 3 (52 weeks) studies significantly reduced severe exacerbations by 55%-69%/57%-60% (all P<.05) and 53%-69%/48%-66% (all P < .001), respectively, except in patients with ≥ 300 eosinophils/µL in phase 2b study (24%/50% (P = .52/0.15). Across subgroups, pre-BD FEV

conclusionDupilumab significantly reduced severe exacerbations and improved lung function and asthma control in patients with type 2-high asthma on high-dose ICS at baseline.

Indexed as

Anti-Asthmatic AgentsAsthmaAdrenal Cortex HormonesAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedHumansQuality of LifeAdrenal Cortex HormonesAnti-Asthmatic AgentsAntibodies, MonoclonalAntibodies, Monoclonal, Humanizeddupilumabasthma controlexacerbationsinhaled corticosteroidsmoderate-to-severe asthmaprebronchodilator FEV1

Identifiers

PMID33010038
PMCPMC7820970
OpenAlexW3091165126

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.