Evidence map›Paper›PMID 39152529›Full record

ArticleClinical and translational allergy2024

Higher prevalence of dupilumab-induced ocular adverse events in atopic dermatitis compared to asthma: A daily practice analysis.

Anne R Schlösser, Lotte Bult, John C Thelen, Alberta A H J Thiadens, Renske Schappin, Tamar E C Nijsten, Johannes C C M In 't Veen, Gerrit J Braunstahl, DirkJan Hijnen

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Article in Clinical and translational allergy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Anne R SchlösserDepartment of Dermatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Lotte BultDepartment of Pulmonology, Franciscus Gasthuis and Vlietland, Rotterdam, The Netherlands.ORCID https://orcid.org/0009-0000-1835-3195
John C ThelenDepartment of Pulmonology, Franciscus Gasthuis and Vlietland, Rotterdam, The Netherlands.
Alberta A H J ThiadensDepartment of Ophthalmology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Renske SchappinDepartment of Dermatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Tamar E C NijstenDepartment of Dermatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Johannes C C M In 't VeenDepartment of Pulmonology, Franciscus Gasthuis and Vlietland, Rotterdam, The Netherlands.
Gerrit J BraunstahlDepartment of Pulmonology, Franciscus Gasthuis and Vlietland, Rotterdam, The Netherlands.
DirkJan HijnenDepartment of Dermatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.

Funding

Sanofi SGF-2021-13401
6 · The paper itself

Abstract

backgroundDupilumab has been shown to be an effective treatment in moderate-to-severe atopic dermatitis (AD) and severe asthma (SA). However, comparative real-world analyses of adverse events (AE), particularly dupilumab-associated ocular surface disease (DAOSD), are lacking.

objectiveThis is the first real-world study to provide insight into the prevalence of AEs associated with dupilumab in AD compared with SA. Secondary objectives were to assess the prevalence, onset and therapeutic strategies of DAOSD and evaluate dupilumab discontinuation rates.

methodsData from two daily practice registries including AD and SA patients receiving dupilumab treatment were analyzed. Adverse events, including DAOSD, were evaluated.

resultsIn total, 322 AD and 148 SA patients were included. Headaches (23.6%), injection site reactions (10.1%), and influenza-like symptoms (13.5%) were more prevalent in SA patients. Interestingly, ocular AEs were significantly more prevalent in AD patients (62.1%, p < 0.001), including conjunctivitis (17.1%, p = 0.004). 88% AD and 47% SA patients with ocular AEs received one or more ophthalmic treatment(s). Additionally, 20% of AD and 17.6% of SA patients discontinued dupilumab treatment due to ocular AEs, while only 65% of these AD and none of these SA patients were referred to an ophthalmologist.

conclusionThe higher incidence of DAOSD in AD patients compared with SA patients in this real-world study highlights the importance of physician awareness, especially when prescribing dupilumab to AD patients. Conversely, the findings of this study help alleviate potential concerns about ocular AEs in patients with SA who do not have comorbid AD. Furthermore, the effective management of most ocular AEs with ophthalmic treatments suggests favorable tolerability of dupilumab in daily practice, and multidisciplinary collaboration is essential to proactively manage ocular AEs before discontinuing dupilumab.

Indexed as

atopic dermatitisdupilumabdupilumab ocular surface diseasesevere asthmaT2‐inflammation

Identifiers

PMID39152529
PMCPMC11329365

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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.