Evidence map›Paper›PMID 35392537›Full record

ArticleJournal of asthma and allergy2022

Real-World Effectiveness of Dupilumab for Patients with Severe Asthma: A Retrospective Study.

Takanori Numata, Jun Araya, Hanae Miyagawa, Keitaro Okuda, Daisuke Takekoshi, Mitsuo Hashimoto, Shunsuke Minagawa, Takeo Ishikawa, Hiromichi Hara, Kazuyoshi Kuwano

Abstract read
In one paragraph

Article in Journal of asthma and allergy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
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

24 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Biologics in severe asthma: a state-of-the-art review.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Personalized Medicine in Severe Asthma: From Biomarkers to Biologics.International journal of molecular sciences · 2023
    Review
  16. Article
  17. Article
  18. Article
  19. Switching Biological Therapies in Severe Asthma.International journal of molecular sciences · 2023
    Review
  20. 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

10 authors.

Takanori NumataDepartment of Respiratory Diseases, The Jikei University School of Medicine, Tokyo, Japan.ORCID 0000-0003-2784-2331
Jun ArayaDepartment of Respiratory Diseases, The Jikei University School of Medicine, Tokyo, Japan.
Hanae MiyagawaDepartment of Respiratory Diseases, The Jikei University School of Medicine, Tokyo, Japan.ORCID 0000-0002-0527-4882
Keitaro OkudaDepartment of Respiratory Diseases, The Jikei University School of Medicine, Tokyo, Japan.
Daisuke TakekoshiDepartment of Respiratory Diseases, The Jikei University School of Medicine, Tokyo, Japan.
Mitsuo HashimotoDepartment of Respiratory Diseases, The Jikei University School of Medicine, Tokyo, Japan.
Shunsuke MinagawaDepartment of Respiratory Diseases, The Jikei University School of Medicine, Tokyo, Japan.
Takeo IshikawaDepartment of Respiratory Diseases, The Jikei University School of Medicine, Tokyo, Japan.
Hiromichi HaraDepartment of Respiratory Diseases, The Jikei University School of Medicine, Tokyo, Japan.
Kazuyoshi KuwanoDepartment of Respiratory Diseases, The Jikei University School of Medicine, Tokyo, Japan.ORCID 0000-0002-3729-1716

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Treatment with dupilumab, an anti-interleukin (IL)-4 receptor α monoclonal antibody that blocks both the IL-4 and IL-13 pathways, has demonstrated efficacy for the treatment of severe asthma (SA) with type 2 inflammation. However, few studies have focused on the efficacy of this biologic for the treatment of SA in a real-world setting. Methods: From April 2019 to December 2021, 26 Japanese patients with SA received dupilumab at Jikei University Hospital. We retrospectively evaluated the number of moderate-to-severe exacerbations, pulmonary function, maintenance dose of corticosteroids, biomarkers, and adverse events. Results: During a mean follow-up period of 12.6 months, 10 patients received dupilumab as the first biologic, and 16 switched to dupilumab from other biologics. Dupilumab treatment significantly reduced the number of annual exacerbations from 3.4 ± 4.1 to 1.6 ± 2.7 (/person-year, p < 0.01) at the last follow-up regardless of previous biologic use. The Asthma Control Test score significantly improved in all patients by six months after administration but tended to worsen by 24 months in patients with previous biologic use. On the other hand, blood eosinophil counts (BECs) transiently increased and peaked three to six months after administration. The peak timing can be affected by previous biologic use. Adverse events included wheezing immediately after injection, hypereosinophilia, mild conjunctivitis, and relapse of chronic eosinophilic pneumonia in the patient switched from benralizumab. Conclusion: Dupilumab treatment was useful for patients with SA in a real-world setting. However, the BEC should be monitored carefully, especially in patients who previously received anti-IL-5/IL-5 receptor antibody.

Indexed as

dupilumabexacerbationreal-worldsevere asthmatransient eosinophilia

Identifiers

PMID35392537
PMCPMC8982811

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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.