Evidence map›Paper›PMID 40537179›Full record

ArticleThe European respiratory journal2025

Dupilumab and lymphoma risk among patients with asthma: a population-based cohort study.

Kevin Sheng-Kai Ma, Bethany Brumbaugh, Rebecca R Saff, Wanda Phipatanakul, Serena Yun-Chen Tsai, Mike Westmeijer, Allison Holt, Joseph Ebriani, Carlos A Camargo, Steven T Chen

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Article in The European respiratory journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Cutaneous T-cell lymphomas and dupilumab for atopic dermatitis: A systematic review and expert consensus.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Pooled it
  2. Article
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  9. Dupilumab, Asthma, and Lymphoma - Signal or Surveillance Bias?African journal of thoracic and critical care medicine · 2026
    Article
  10. Precision Medicine Advances in Chronic Lung Diseases.International journal of molecular sciences · 2025
    Article
  11. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Kevin Sheng-Kai MaDepartment of Dermatology, Massachusetts General Hospital, Boston, MA, USA kevinskma1@gmail.com.ORCID https://orcid.org/0000-0002-9394-4144
Bethany BrumbaughDepartment of Dermatology, Massachusetts General Hospital, Boston, MA, USA.
Rebecca R SaffHarvard Medical School, Boston, MA, USA.ORCID https://orcid.org/0000-0002-4143-0985
Wanda PhipatanakulDivision of Immunology, Department of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.ORCID https://orcid.org/0000-0001-8639-0473
Serena Yun-Chen TsaiDepartment of Dermatology, Massachusetts General Hospital, Boston, MA, USA.ORCID https://orcid.org/0000-0002-5778-645X
Mike WestmeijerDepartment of Dermatology, Massachusetts General Hospital, Boston, MA, USA.
Allison HoltDepartment of Dermatology, Massachusetts General Hospital, Boston, MA, USA.
Joseph EbrianiDepartment of Dermatology, Massachusetts General Hospital, Boston, MA, USA.
Carlos A CamargoHarvard Medical School, Boston, MA, USA.ORCID https://orcid.org/0000-0002-5071-7654
Steven T ChenDepartment of Dermatology, Massachusetts General Hospital, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDupilumab is approved for the treatment of atopic dermatitis, asthma, and other allergic diseases. Recent studies suggest that patients with atopic dermatitis receiving dupilumab are at a higher risk of developing cutaneous lymphoma. This study aimed to investigate the risk of lymphoma among patients with asthma receiving dupilumab.

methodsThis population-based cohort study included patients in the United States with asthma who initiated dupilumab or the active comparator (combination therapy with inhaled corticosteroids (ICS) plus long-acting β-agonists (LABA), or ICS/LABA), between 2018 and 2024. Propensity score matching was used to balance baseline characteristics between groups. The primary outcome was new-onset lymphoma, and secondary outcomes included other malignancies and all-cause mortality.

resultsA total of 14 936 dupilumab-treated and 734 126 ICS/LABA-treated patients with asthma were included. After propensity score matching, dupilumab-treated patients were found to have a higher risk of lymphoma (54

conclusionsDupilumab treatment was associated with lower all-cause mortality among patients with asthma, despite increased risk of lymphoma, particularly T-cell and NK-cell lymphomas. These findings highlight the need for long-term surveillance and further research into the immunological mechanisms underlying dupilumab-associated lymphoma in asthma.

Indexed as

Anti-Asthmatic AgentsAntibodies, Monoclonal, HumanizedAsthmaLymphomaAdrenal Cortex HormonesAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedPropensity ScoreRetrospective StudiesUnited StatesAdrenal Cortex HormonesAnti-Asthmatic AgentsAntibodies, Monoclonal, Humanizeddupilumab

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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.