Evidence map›Paper›PMID 34079295›Full record

ArticleJournal of asthma and allergy2021

Real-World Experience with Dupilumab in Severe Asthma: One-Year Data from an Italian Named Patient Program.

Raffaele Campisi, Claudia Crimi, Santi Nolasco, Bianca Beghè, Leonardo Antonicelli, Gabriella Guarnieri, Nicola Scichilone, Morena Porto, Luigi Macchia, Giulia Scioscia and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of asthma and allergy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 3% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Guideline
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  14. Temporal trends of blood eosinophilia in severe uncontrolled CRSwNP treated with dupilumab: a real-life study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    Article
  15. Review
  16. Article
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  18. Personalized Medicine in Severe Asthma: From Biomarkers to Biologics.International journal of molecular sciences · 2023
    Review
  19. Article
  20. Switching Biological Therapies in Severe Asthma.International journal of molecular sciences · 2023
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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

13 authors at 9 institutions in 1 country.

Raffaele CampisiRespiratory Medicine Unit, A.O.U. Policlinico "G. Rodolico -San Marco", Catania, Italy.ORCID 0000-0001-9305-6748
Claudia CrimiRespiratory Medicine Unit, A.O.U. Policlinico "G. Rodolico -San Marco", Catania, Italy.ORCID 0000-0002-9088-5214
Santi NolascoDepartment of Clinical and Experimental Medicine, Section of Respiratory Diseases, University of Catania, Catania, Italy.ORCID 0000-0003-3995-7662
Bianca BeghèRespiratory Medicine Unit, Department of Medicine, University of Modena and Reggio Emilia, Modena, Italy.
Leonardo AntonicelliAllergy Unit, Department of Internal Medicine, Ancona University Hospital, Ancona, Italy.ORCID 0000-0002-7669-9116
Gabriella GuarnieriDepartment of Cardiac, Thoracic and Vascular Sciences, University-City Hospital of Padova, Padova, Italy.
Nicola ScichiloneUniversity of Palermo, PROMISE Department, University of Palermo, Palermo, Italy.ORCID 0000-0001-6400-6573
Morena PortoDepartment of Clinical and Experimental Medicine, Section of Respiratory Diseases, University of Catania, Catania, Italy.
Luigi MacchiaDepartment of Emergency and Organ Transplantation, School and Chair of Allergology and Clinical Immunology, University of Bari, Bari, Italy.
Giulia SciosciaDepartment of Medical and Surgical Sciences, Institute of Respiratory Diseases, University of Foggia, Foggia, Italy.ORCID 0000-0002-2667-077X
Maria Pia Foschino BarbaroDepartment of Medical and Surgical Sciences, Institute of Respiratory Diseases, University of Foggia, Foggia, Italy.ORCID 0000-0001-9939-2697
Alberto PapiRespiratory Medicine Unit, S. Anna University Hospital, Ferrara, Italy.ORCID 0000-0002-6924-4500
Nunzio CrimiRespiratory Medicine Unit, A.O.U. Policlinico "G. Rodolico -San Marco", Catania, Italy.
University of Catania · ITPoliclinico Universitario di Catania · ITUniversity of Foggia · ITOspedali Riuniti di Ancona · ITUniversity of Bari Aldo Moro · ITUniversity of Ferrara · ITUniversity of Modena and Reggio Emilia · ITUniversity of Padua · ITUniversity of Palermo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDupilumab is a monoclonal antibody targeting IL-4Rα recently licensed for severe asthma (SA). A Named Patients Program (NPP) was created in Italy before its commercial availability for SA patients with no other available therapeutic options. We aimed to assess the real-world effectiveness of dupilumab in patients with SA and unmet needs.

methodsWe performed a multicentre retrospective study, including SA patients admitted to the NPP treated with dupilumab for 12 months. Data on the number of exacerbations, Asthma Control Test (ACT), pre-bronchodilator FEV

resultsWe included 18 SA patients (mean age 53.3±12.4 years, 66.7% female). Eleven (61.1%) were OCSs dependent. Five patients (27.8%) received previous anti-IgE and/or anti-IL-5 agents. A significant improvement in ACT score (from 15.7±5.1 to 18.8±4.8, p=0.023), OCSs intake [10 (5-25) mg/day to 0 (0-5) mg/day, p=0.0333] and FeNO [from 25 (20-80) ppb to 21 (10.9-55.3) ppb, p=0.0190] was already detected after 3 months of treatment. After 12 months, a statistically significant decrease in the number of exacerbations from 2 (0-3) to 0 (0-1) (p<0.0068) and increase in FEV

conclusionDupilumab improved all the explored clinical outcomes after 12 months, and the transient hypereosinophilia did not modify treatment response. These real-world data confirm the results reported in randomized controlled trials and provide an important opportunity to characterize the clinical impact of the treatment in a non-trial setting. Further real-world studies with a larger cohort of patients are needed to confirm these findings.

Indexed as

dupilumabNamed Patient Programoral corticosteroidsreal-worldsevere asthma

Identifiers

PMID34079295
PMCPMC8167193
OpenAlexW3165365105

What OpenQuestion holds

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Registered trials

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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.