Evidence map›Paper›PMID 39039360›Full record

ArticleDermatology and therapy2024

Dupilumab in Patients with Atopic Dermatitis: A Multicentric, Long-Term, Real-World Portuguese Study.

Tiago Torres, Maria João Cruz, Margarida Gonçalo, Paulo Filipe, Bruno Duarte, João Alves, José Miguel Alvarenga, Gilberto Rosa, Duarte Flor, José Ramos and 9 more

Abstract read
In one paragraph

Article in Dermatology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. From Pathways to Patients in Atopic Dermatitis: Advanced Systemic Therapies.International journal of molecular sciences · 2025
    Review
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

19 authors.

Tiago TorresDepartment of Dermatology, CAC ICBAS-CHP - Centro Académico Clínico ICBAS - CHP, Porto, Portugal. torres.tiago@outlook.com.ORCID http://orcid.org/0000-0003-0404-0870
Maria João CruzDermatology Department, ULS São João, Porto, Portugal.
Margarida GonçaloDepartment of Dermatology, ULS de Coimbra, Coimbra, Portugal.
Paulo FilipeDepartment of Dermatology, ULS de Santa Maria, Lisbon, Portugal.
Bruno DuarteHospital Santo António Dos Capuchos, ULS São José, Lisbon, Portugal.
João AlvesDepartment of Dermatology, ULS Almada-Seixal, Lisbon, Portugal.
José Miguel AlvarengaDepartment of Dermatology, CAC ICBAS-CHP - Centro Académico Clínico ICBAS - CHP, Porto, Portugal.
Gilberto RosaDermatology Department, ULS São João, Porto, Portugal.
Duarte FlorDepartment of Dermatology, ULS de Coimbra, Coimbra, Portugal.
José RamosDepartment of Dermatology, ULS Almada-Seixal, Lisbon, Portugal.
Diogo SousaDepartment of Dermatology, ULS de Santa Maria, Lisbon, Portugal.
Aureliu RoscaDepartment of Dermatology, ULS de Gaia E Espinho, Vila Nova de Gaia, Portugal.
César MagalhãesDepartment of Dermatology, ULS de Gaia E Espinho, Vila Nova de Gaia, Portugal.
Cristina ClaroDepartment of Dermatology, ULS Lisboa Ocidental, Lisbon, Portugal.
Joana RochaDepartment of Dermatology, ULS de Matosinhos, Porto, Portugal.
Catarina VilarinhoDepartment of Dermatology, ULS Alto Ave, Guimarães, Portugal.
Fernando MotaDepartment of Dermatology, ULS Alto Ave, Guimarães, Portugal.
Alberto MotaDermatology Department, ULS São João, Porto, Portugal.
Maria João Paiva LopesCRI de Dermatovenereologia, Hospital de Santo António dos Capuchos, ULS São José, Lisbon, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSeveral clinical trials have established the efficacy and safety of dupilumab for treating atopic dermatitis (AD). However, literature remains scarce in reporting the long-term effectiveness, safety, and drug survival of dupilumab in real-world settings. This study aimed to describe the latter outcomes of dupilumab in patients with AD.

methodsThis Portuguese, multicentric, observational, retrospective study included consecutive adult patients with AD who initiated dupilumab between January 2019 and September 2023, with a follow-up period up to 30 months. Drug discontinuation and adverse effects data were used to estimate drug survival. Clinical assessments included the Eczema Area and Severity Index (EASI), pruritus numerical rating scale (NRS), and Dermatology Life Quality Index (DLQI).

resultsA total of 312 patients were included in the study, with 56.4% being male (median age of 30 years, range 18-83). The 30-month drug survival rate was 82.0%. During the study period, 12.5% of the sample (n = 39 patients) discontinued treatment: 7.3% due to treatment failure, 2.9% due to safety concerns, 1.3% due to complete disease control, 0.6% due to pregnancy, and 0.3% due to lack of compliance. Adverse events not leading to drug discontinuation were noted in 25.6% of the sample (n = 80). Conjunctivitis was the most frequently reported adverse event (17%), followed by facial erythema (9%). At 30 months, the mean EASI decreased significantly from 27.30 ± 11.89 at baseline to 2.92 ± 3.96 (p < 0.001), reflecting an overall improvement of 89.3%. Similarly, pruritus NRS decreased from 7.36 ± 1.90 at baseline to 1.74 ± 2.16 at month 30 (p < 0.001), improving by 76.4%, and mean DLQI changed from 18.0 ± 7.09 at baseline to 2.67 ± 3.95 at month 30 (p < 0.001), decreasing by 85.2%.

conclusionsThis study increases our current understanding of dupilumab in real-world settings, demonstrating its long-term effectiveness and safety in treating AD.

Indexed as

Atopic dermatitisDrug SurvivalDupilumabEffectivenessLong-term

Identifiers

PMID39039360
PMCPMC11333673

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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.