Evidence map›Paper›PMID 40158906›Full record

SynthesisAnais brasileiros de dermatologia

Efficacy and safety of dupilumab in patients with moderate-to-severe bullous pemphigoid: a systematic review and meta-analysis.

Júlia Opolski Nunes da Silva, Rodrigo Ribeiro E Silva, Paulo Victor Zattar Ribeiro, Patrícia Silva Farah, Raquel Bissacotti Steglich

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Anais brasileiros de dermatologia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Management of Bullous Pemphigoid and Norwegian Scabies with Dupilumab Plus Ivermectin.The American journal of tropical medicine and hygiene · 2026
    Article
  4. Article
  5. Article
  6. 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

5 authors.

Júlia Opolski Nunes da SilvaDepartment of Medicine, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Rodrigo Ribeiro E SilvaDepartment of Medicine, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Paulo Victor Zattar RibeiroDepartment of Medicine, Universidade de São Paulo, Ribeirão Preto, SP, Brazil. Electronic address: pvzattar@hcrp.usp.br.
Patrícia Silva FarahDepartment of Dermatology, Universidade Federal de Santa Catarina, Florianópolis, SP, Brazil.
Raquel Bissacotti SteglichDepartment of Dermatology, Universidade da Região de Joinville, Joinville, SC, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEvaluate the safety and efficacy of dupilumab in treating moderate-to-severe bullous pemphigoid.

methodsThe authors performed a systematic review and meta-analysis of comparative studies of Dupilumab combined with corticosteroids and conventional corticosteroid therapy alone in patients with moderate-to-severe bullous pemphigoid. PubMed, Embase and Cochrane databases were searched for studies published up to December 2023. Data were extracted from published reports and quality assessment was performed according to Cochrane recommendations.

resultsA total of four studies involving 127 patients were included, of which 53 received Dupilumab combined with corticosteroids, while the other 74 were administered corticosteroids alone. Regarding efficacy, Dupilumab the time before new blister formation stopped (MD = -5.13 days; 95% CI -7.12 to -3.15; p < 0.0001) and demonstrated a greater reduction in Bullous Pemphigoid Disease Area Index (MD = -3.90; 95% CI -5.52 to -2.27; p < 0.0001) and Numeric Rating Scale for Pruritus (SMD = -1.37; 95% CI -2.02 to -0.72; p < 0.0001) compared with patients who received conventional therapy. However safety endpoints, adverse events (RR = 0.78; 95% CI 0.58 to 1.05; p = 0.10) and relapses (RR = 0.50; 95% CI 0.19 to 1.36; p = 0.17) showed no significance. The main limitations were retrospective studies with small samples and limited results in clinical practice and a moderate overall risk of bias.

conclusionCompared with conventional therapy, Dupilumab decreased the time before new blister formation stopped in 5.13 days, as well as Disease Area Index and Pruritus, without interfering with adverse events and relapse.

Indexed as

Antibodies, Monoclonal, HumanizedDermatologic AgentsPemphigoid, BullousAdrenal Cortex HormonesDrug Therapy, CombinationHumansSeverity of Illness IndexTreatment OutcomeAdrenal Cortex HormonesAntibodies, Monoclonal, HumanizedDermatologic AgentsdupilumabDupilumabInterleukin-4MethylprednisolonePemphigoid, bullousPruritus

Identifiers

PMID40158906
PMCPMC12234199

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.