Evidence map›Paper›PMID 40719932›Full record

SynthesisCurrent allergy and asthma reports2025

Strategies for Tapering the Dosage of Biologics Targeting Type 2 Inflammation: A Systematic Review.

Antonella Loperfido, Claudio Montuori, Marco Caminati, Niccolò Gori, Leandro Maria D'Auria, Gianluca Bellocchi, Carlo Cavaliere, Daniela Lucidi, Moffa Antonio, Eugenio De Corso

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Current allergy and asthma reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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

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

  1. Dupilumab Extended Interval Dosing in Chronic Rhinosinusitis With Nasal Polyps: A Systematic Review and Meta-analysis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Pooled it
  2. 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

10 authors.

Antonella LoperfidoOtolaryngology Unit, San Camillo Forlanini Hospital, Rome, Italy.ORCID http://orcid.org/0000-0002-7174-8126
Claudio MontuoriDepartment of Head-Neck and Sensory Organs, Catholic University of Sacred Heart, Largo A. Gemelli 8, Rome, 00168, Italy. Claudio.montuori@guest.policlinicogemelli.it.ORCID http://orcid.org/0000-0003-2070-0314
Marco CaminatiDepartment of Medicine, University of Verona, Verona, Italy.ORCID http://orcid.org/0000-0001-7383-1487
Niccolò GoriDipartimento di Scienze Mediche e Chirurgiche, UOC di Dermatologia, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.ORCID http://orcid.org/0000-0003-1987-0623
Leandro Maria D'AuriaDepartment of Head-Neck and Sensory Organs, Catholic University of Sacred Heart, Largo A. Gemelli 8, Rome, 00168, Italy.ORCID http://orcid.org/0009-0007-7101-1080
Gianluca BellocchiOtolaryngology Unit, San Camillo Forlanini Hospital, Rome, Italy.ORCID http://orcid.org/0000-0001-5341-3309
Carlo CavaliereDepartment of Sense Organs, Sapienza University, Rome, Italy.ORCID http://orcid.org/0000-0002-0378-8935
Daniela LucidiBologna University- ENT Department Ravenna Hospital, Bologna, Italy.ORCID http://orcid.org/0000-0003-3341-5926
Moffa AntonioSchool of Medicine, Università Campus Bio-Medico, Rome, Italy.ORCID http://orcid.org/0000-0002-6181-8194
Eugenio De CorsoOtorhinolaryngology Unit, A. Gemelli University Hospital Foundation IRCCS, Rome, Italy.ORCID http://orcid.org/0000-0001-5761-7018

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewThis review evaluates current evidence on tapering strategies for anti-type 2 biologics in chronic inflammatory diseases. Given the need for long-term treatment, optimizing dosage without compromising efficacy is essential for sustainable disease management. RECENT

findingsBiologic dose reduction strategies, such as tapering, de-escalation, dose spacing and interval dose prolongation, are increasingly explored in various type 2 inflammatory diseases, particularly in real-life settings. Studies have shown variable outcomes depending on disease type, patient characteristics, and tapering methods. Nineteen studies met inclusion criteria in this systematic review. The evidence supports the feasibility of dose tapering, especially for dupilumab, in maintaining disease control while reducing drug exposure. However, standardized tapering protocols and clear patient selection criteria remain lacking. Further prospective, controlled studies are needed to define optimal, safe, and personalized de-escalation strategies for long-term management of type 2 inflammatory diseases.

Indexed as

Biological ProductsDrug TaperingInflammationAntibodies, Monoclonal, HumanizedHumansAntibodies, Monoclonal, HumanizedBiological ProductsBiologic TherapiesDose de-escalationDose SpacingDose TaperingLong TermType 2 Inflammatory Diseases

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.