Evidence map›Paper›PMID 40003715›Full record

ReviewLife (Basel, Switzerland)2025

Efficacy of Dupilumab in the Treatment of Eosinophilic Esophagitis: A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials.

Szu-Hung Chu, Jeng-Jung Chen, Chung-Chu Chen, Wei-Te Lei, Chi-Hone Lien, Shung-Long Weng, Chun-Yan Yeung, Lawrence Yu-Ming Liu, Yu-Lin Tai, Ya-Ning Huang and 1 more

Abstract readReview
In one paragraph

Review in Life (Basel, Switzerland), 2025. 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. 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

11 authors.

Szu-Hung ChuDepartment of Pediatrics, Hsinchu Municipal MacKay Children's Hospital, Hsinchu 30070, Taiwan.
Jeng-Jung ChenDepartment of Pediatrics, Hsinchu Municipal MacKay Children's Hospital, Hsinchu 30070, Taiwan.
Chung-Chu ChenDepartment of Internal Medicine, Hsinchu MacKay Memorial Hospital, Hsinchu 30071, Taiwan.ORCID 0000-0003-4415-7811
Wei-Te LeiDepartment of Pediatrics, Hsinchu Municipal MacKay Children's Hospital, Hsinchu 30070, Taiwan.
Chi-Hone LienDepartment of Pediatrics, Hsinchu Municipal MacKay Children's Hospital, Hsinchu 30070, Taiwan.
Shung-Long WengDepartment of Biological Science and Technology, National Yang Ming Chiao Tung University, Hsinchu 30010, Taiwan.
Chun-Yan YeungDepartment of Pediatrics, Hsinchu Municipal MacKay Children's Hospital, Hsinchu 30070, Taiwan.
Lawrence Yu-Ming LiuDepartment of Internal Medicine, Hsinchu MacKay Memorial Hospital, Hsinchu 30071, Taiwan.
Yu-Lin TaiDepartment of Pediatrics, Hsinchu Municipal MacKay Children's Hospital, Hsinchu 30070, Taiwan.ORCID 0000-0002-0433-1072
Ya-Ning HuangDepartment of Pediatrics, Hsinchu Municipal MacKay Children's Hospital, Hsinchu 30070, Taiwan.ORCID 0000-0002-9843-5189
Chien-Yu LinDepartment of Pediatrics, Hsinchu Municipal MacKay Children's Hospital, Hsinchu 30070, Taiwan.ORCID 0000-0003-4630-8724

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Eosinophilic esophagitis (EoE) is a chronic, immune-mediated disorder of the esophagus with rising prevalence. Dupilumab (DUPI), a monoclonal antibody that targets the interleukin-4 receptor α, has shown promise as a treatment option. We conducted a systematic review and network meta-analysis of randomized controlled trials searching the PubMed/Medline database, the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials (CENTRAL), and the medRxiv preprint server up to 31 July 2024, assessing DUPI's efficacy and optimal dosing in the treatment of EoE. Finally, three randomized-controlled trials comprising 470 participants, including 102 children under 12 years of age, were included in the qualitative synthesis. Both high-exposure (HE-DUPI, 300 mg weekly) and low-exposure (LE-DUPI, 300 mg biweekly) regimens achieved significant histologic remission relative to placebo (OR = 26.88, 95% CI 11.98-60.29 for LE-DUPI; OR = 29.15, 95% CI 13.68-62.12 for HE-DUPI). Although overall adverse events were comparable between groups, HE-DUPI was associated with a notable increase in serious adverse events. These findings suggest that DUPI is effective in promoting histologic remission in EoE, with LE-DUPI emerging as a preferred option for balancing efficacy and safety. This study highlights the efficacy and safety profiles of different dosing regimens and pediatric groups. Further studies are warranted to explore long-term outcomes and identify patient subgroups that may derive the greatest benefit from DUPI therapy.

Indexed as

biological agentsdupilumabeosinophilic esophagitismonoclonal antibody

Identifiers

PMID40003715
PMCPMC11857325

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.