Evidence map›Paper›PMID 35590407›Full record

ArticleClinical and molecular allergy : CMA2022

Effectiveness and safety of dupilumab in patients with chronic rhinosinusitis with nasal polyps and associated comorbidities: a multicentric prospective study in real life.

Eustachio Nettis, Luisa Brussino, Vincenzo Patella, Laura Bonzano, Aikaterini Detoraki, Elisabetta Di Leo, Maria Maddalena Sirufo, Cristiano Caruso, Fabio Lodi Rizzini, Mariaelisabetta Conte and 50 more

Open access · goldAbstract read
In one paragraph

Article in Clinical and molecular allergy : CMA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 2% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Changes in weight secondary to improved odor perception in chronic rhinosinusitis with nasal polyps' patients treated with Dupilumab.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 · 2025
    Article
  11. Review
  12. Article
  13. Observational
  14. Efficacy and safety of dupilumab in the treatment of CRSwNP in the real-life setting: a review of the literature.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
    Review
  15. Review
  16. The value of biomarkers in the therapy of CRSwNP with biologicals-a long-term follow-up of dupilumab therapy.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
  17. Review
  18. Article
  19. Review
  20. Uncommon Blepharitis.Journal of clinical medicine · 2024
    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

60 authors at 20 institutions in 1 country.

Eustachio NettisDepartment of Emergency and Organ Transplantation, School of Allergology and Clinical Immunology, University of Bari Aldo Moro, Policlinico Di Bari, Bari, Italy.
Luisa BrussinoDepartment of Medical Sciences, University of Turin, Corso Achille Mario Dogliotti, 14, 10126, Turin, Italy.
Vincenzo PatellaDivision of Allergy and Clinical Immunology, Department of Medicine ASL Salerno, Santa Maria Della Speranza Hospital, Salerno, Italy.
Laura BonzanoDermatology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy. laurabonzano83@gmail.com.ORCID http://orcid.org/0000-0002-8933-4626
Aikaterini DetorakiDepartment of Internal Medicine, Clinical Immunology, Clinical Pathology and Infectious Disease, Azienda Ospedaliera Universitaria Federico II, Napoli, Italy.
Elisabetta Di LeoSection of Allergy and Clinical Immunology, Unit of Internal Medicine, "F. Miulli" Hospital, Strada Provinciale per Santeramo Km 4.100, Acquaviva delle Fonti, Bari, Italy.
Maria Maddalena SirufoDepartment of Life, Health and Environmental Sciences, University of L'Aquila, 67100, L'Aquila, Italy.
Cristiano CarusoDipartimento di Scienze Mediche e Chirurgiche, Digestive Disease Center, Fondazione Policlinico A. Gemelli, IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
Fabio Lodi RizziniFacoltà Medicina e Chirurgia, Università Studi Brescia, SSVD Allergologia - Spedali Civili Brescia, Brescia, Italy.
Mariaelisabetta ConteStruttura Dipartimentale di Immunologia ed Allergologia Azienda Sanitaria Friuli Occidentale, Presidio Ospedaliero di Pordenone, Pordenone, Italy.
Mona-Rita YacoubUnit of Immunology, Rheumatology, Allergy and Rare Diseases, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Massimo TriggianiDivision of Allergy and Clinical Immunology, University of Salerno, Fisciano, Italy.
Erminia RidoloDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Luigi MacchiaDepartment of Emergency and Organ Transplantation, School of Allergology and Clinical Immunology, University of Bari Aldo Moro, Policlinico Di Bari, Bari, Italy.
Giovanni RollaDipartimento di Scienze Mediche, Università Di Torino, Turin, Italy.
Raffaele BrancaccioDermatology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Amato De PaulisDepartment of Internal Medicine, Clinical Immunology, Clinical Pathology and Infectious Disease, Azienda Ospedaliera Universitaria Federico II, Napoli, Italy.
Giuseppe SpadaroDepartment of Internal Medicine, Clinical Immunology, Clinical Pathology and Infectious Disease, Azienda Ospedaliera Universitaria Federico II, Napoli, Italy.
Danilo Di BonaDepartment of Emergency and Organ Transplantation, School of Allergology and Clinical Immunology, University of Bari Aldo Moro, Policlinico Di Bari, Bari, Italy.
Angela Maria D'UggentoDepartment of Economics and Finance, University of Bari, Bari, Italy.
Lia GinaldiDepartment of Life, Health and Environmental Sciences, University of L'Aquila, 67100, L'Aquila, Italy.
Francesco GaetaDipartimento di Scienze Mediche e Chirurgiche, Digestive Disease Center, Fondazione Policlinico A. Gemelli, IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
Eleonora NuceraDipartimento di Scienze Mediche e Chirurgiche, Digestive Disease Center, Fondazione Policlinico A. Gemelli, IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
Kliljeda JaubashiFacoltà Medicina e Chirurgia, Università Studi Brescia, SSVD Allergologia - Spedali Civili Brescia, Brescia, Italy.
Danilo VillaltaStruttura Dipartimentale di Immunologia ed Allergologia Azienda Sanitaria Friuli Occidentale, Presidio Ospedaliero di Pordenone, Pordenone, Italy.
Lorenzo DagnaUnit of Immunology, Rheumatology, Allergy and Rare Diseases, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Domenico CiottaDivision of Allergy and Clinical Immunology, University of Salerno, Fisciano, Italy.
Francesco PucciariniDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Diego BagnascoClinica Delle Malattie Respiratorie e Allergologia Dipartimento di Medicina Interna (DIMI), Università Degli Studi di Genova IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Giorgio CeliUO Allergologia e Immunologia Clinica, ASST Mantova, Mantova, Italy.
Fulvia Chieco BianchiUOC di Fisiopatologia Respiratoria, Azienda Ospedale-Università di Padova, Padova, Italy.
Lorenzo CosmiDipartimento di Medicina Sperimentale e Clinica, Università Degli Studi di Firenze, Florence, Italy.
Maria Teresa CostantinoUO Allergologia e Immunologia Clinica, ASST Mantova, Mantova, Italy.
Maria Angiola CrivellaroOccupational Health Unit and AllergologyPadova University Hospital, Department of Cardiac Thoracic Vascular Sciences and Public Health, University of Padova, 35128, Padova, Italy.
Simona D'AlòUOC Allergologia, Ospedale di Civitanova Marche, ASUR Marche Area Vasta 3, Civitanova Marche, Italy.
Pietro Del BiondoScuola di Specializzazione in Allergologia ed Immunologia Clinica, Università Degli Studi "Gabriele d'Annunzio" di Chieti-Pescara, Chieti, Italy.
Stefano Del GiaccoAllergologia e Immunologia Clinica - Dipartimento di Scienze Mediche e Sanità Pubblica, Università Degli Studi Di Cagliari, Cagliari, Italy.
Mario Di GioacchinoCenter of Advanced Studies and Technology, G. d'Annunzio University, Chieti, Italy.
Linda Di PietroDipartimento di Medicina Sperimentale e Clinica, Università Degli Studi di Firenze, Florence, Italy.
Elisabetta FaveroCentro Allergologico e Malattie Rare, Dipartimento di Medicina Ospedale Ca' Foncello, Treviso, Italy.
Sebastiano GangemiDepartment of Clinical and Experimental Medicine, School and Operative Unit of Allergy and Clinical Immunology, University of Messina, 98124, Messina, Italy.
Gabriella GuarnieriDepartment of Cardiac Thoracic Vascular Science and Public Health, University of Padova, Padova, Italy.
Enrico HefflerPersonalized Medicine, Asthma and Allergy, IRCCS Humanitas Research Hospital, Rozzano, MI, Italy.
Maria Stefania Leto BaroneUF Riabilitazione Respiratoria, Casa di Cure Villa Serena, Palermo, Italy.
Carla LombardoAllergy Unit, Villa Igea Hospital. A.P.S.S. Trento, Trento, Italy.
Francesca LosaUO Allergologia e Immunologia Clinica, ASST Mantova, Mantova, Italy.
Andrea MatucciImmunoallergology Unit, Careggi University Hospital, Florence, Italy.
Paola Lucia MinciulloDepartment of Clinical and Experimental Medicine, School and Operative Unit of Allergy and Clinical Immunology, University of Messina, 98124, Messina, Italy.
Paola ParronchiDipartimento di Medicina Sperimentale e Clinica, Università Degli Studi di Firenze, Florence, Italy.
Giovanni PassalacquaClinica Delle Malattie Respiratorie e Allergologia Dipartimento di Medicina Interna (DIMI), Università Degli Studi di Genova IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Stefano PucciUOC Allergologia, Ospedale di Civitanova Marche, ASUR Marche Area Vasta 3, Civitanova Marche, Italy.
Oliviero RossiImmunoallergology Unit, Careggi University Hospital, Florence, Italy.
Lorenzo SalvatiDipartimento di Medicina Sperimentale e Clinica, Università Degli Studi di Firenze, Florence, Italy.
Michele SchiappoliUOC Allergologia E Asma Center, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Italy.
Gianenrico SennaUOC Allergologia E Asma Center, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Italy.
Andrea VianelloDepartment of Cardiac Thoracic Vascular Science and Public Health, University of Padova, Padova, Italy.
Alessandra VultaggioImmunoallergology Unit, Careggi University Hospital, Florence, Italy.
Yang BaoranUO Allergologia e Immunologia Clinica, ASST Mantova, Mantova, Italy.
Cristoforo IncorvaiaPrivate Practice, Milan, Italy.
Giorgio Walter CanonicaPersonalized Medicine, Asthma and Allergy, IRCCS Humanitas Research Hospital, Rozzano, MI, Italy.
Azienda Ospedaliero-Universitaria Careggi · ITUniversity of Bari Aldo Moro · ITUniversity of Padua · ITFederico II University Hospital · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Florence · ITUniversity of Salerno · ITAzienda Ospedaliera Universitaria Integrata Verona · ITAzienda Sanitaria Unità Locale di Reggio Emilia · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITHumanitas University · ITL'organizzazione Ospedale di Civitanova M · ITOspedale Policlinico San Martino · ITPresidio Ospedaliero · ITUniversity of Chieti-Pescara · ITUniversity of Messina · ITUniversity of Parma · ITVita-Salute San Raffaele University · ITA. O. Ordine Mauriziano di Torino · ITCa' Foncello Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBiologics are currently one of the main treatment options for a number of diseases. The IgG4 monoclonal antibody dupilumab targets the Interleukin-4 receptor alpha chain, thus preventing the biological effects of the cytokines IL-4 and IL-13, that are essential for the Th2 response. Several controlled trials showed that dupilumab is effective and safe in patients with atopic dermatitis (AD), severe asthma and chronic rhinosinusitis with nasal polyps (CRSwNP), thus resulting in approval by regulatory agencies. Aim of the study was to evaluate the efficacy and safety of dupilumab in adult patients with CRSwNP stratified by common overlapping comorbid conditions.

methodsWe performed a multicenter, observational, prospective study enrolling adult patients with severe CRSwNP who had started dupilumab treatment in the context of standard care from January 2021 to October 2021. Data were collected from twentynine Italian secondary care centers for allergy and clinical immunology, all of which were part of the Italian Society of Allergy, Asthma and Clinical Immunology (SIAAIC). A number of efficacy parameters were used. Patient data were compared using the Wilcoxon test for paired data. All statistical analyses were performed with SPSS version 20 (IBM, Armonk, NY, USA).

resultsIn total, 82 patients with nasal polyposis were identified. A significant improvement was detected for all the applied efficacy parameters, i.e. 22-item Sino-Nasal Outcome Test (SNOT-22) and bilateral endoscopic nasal polyp score (NPS) scores for CRSwNP, Rhinitis Control Scoring System (RCSS) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) scores for allergic perennial rhinitis, Forced Expiratory Volume in the 1st second (FEV1) and Asthma Quality of Life Questionnaire (AQLQ) scores for asthma, Eczema Area and Severity Index (EASI) and Dermatology Life Quality Index (DLQI) scores for AD. A non-significant improvement was also obtained in the Urticaria Activity Score over 7 days (UAS7) for chronic spontaneous urticaria. Treatment with dupilumab was well tolerated.

conclusionsThese data suggest that dupilumab treatment in patients suffering from CRSwNP and associated comorbidities may be suitable. Such outcome, although confirmation by trials is warranted, suggests the possibility to treat different disorders with a single therapy, with favorable effects especially under the cost-effectiveness aspect.

Identifiers

PMID35590407
PMCPMC9121619
OpenAlexW4280620110

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