Evidence map›Paper›PMID 41236276›Full record

ArticleDermatology practical & conceptual2025

Dupilumab: an Additional Arrow in the Quiver for Prurigo Nodularis? Data From a Real-Life Setting.

Roberta Di Caprio, Stefano Caccavale, Eugenia Veronica Di Brizzi, Caterina Mariarosaria Giorgio, Aleksandra Stefaniak, Giuseppe Argenziano, Anna Balato

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Article in Dermatology practical & conceptual, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Roberta Di CaprioDermatology Unit, University of Campania "Luigi Vanvitelli", Naples, Italy.
Stefano CaccavaleDermatology Unit, University of Campania "Luigi Vanvitelli", Naples, Italy.
Eugenia Veronica Di BrizziDermatology Unit, University of Campania "Luigi Vanvitelli", Naples, Italy.
Caterina Mariarosaria GiorgioDermatology Unit, University of Campania "Luigi Vanvitelli", Naples, Italy.
Aleksandra StefaniakDermatology Unit, University of Campania "Luigi Vanvitelli", Naples, Italy.
Giuseppe ArgenzianoDermatology Unit, University of Campania "Luigi Vanvitelli", Naples, Italy.
Anna BalatoDermatology Unit, University of Campania "Luigi Vanvitelli", Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrurigo nodularis (PN) management remains a significant challenge due to its chronicity, treatment resistance, and scarcity of approved treatments and to its impact on patients' quality of life.

objectiveThe aim of this study was to assess PN therapeutic management in a real-life setting.

methodsIn this prospective observational study, 90 patients diagnosed with moderate-to-severe PN were included. Patients were each prescribed therapies available for PN according to symptom severity, consistent with treatment guidelines; only those undergoing systemic therapies were included. Disease severity was evaluated through the measurements of Investigator's Global Assessment (IGA) score, Numeric Rating Scale (NRS) for pruritus, and Dermatology Life Quality Index (DLQI) at the beginning of the study (week 0 - W0 ) and after a 6-month period of treatment (W24).

resultsAt W0, patients were prescribed antidepressants (41.0%), dupilumab (34.0%), antihistamines (23.0%), phototherapy (4.0%) or nemolizumab (2.0%). At W24, patients on dupilumab achieved an IGA score of 0 or 1 and a ≥4-point NRS reduction, more than those on antidepressants (44.5% vs 16.7% and 54.4% vs 16.7%, respectively). The average DLQI score was reduced by 14 points in the dupilumab group, compared to a 6-point reduction in the antidepressant group.

conclusionsOur findings reflect the real-world practice of treating PN and support the use of dupilumab as a new effective treatment option, with significant improvements in pruritus, quality of life, and disease severity compared to antidepressant therapy, suggesting its potential as a preferred therapeutic option for PN.

Identifiers

PMID41236276
PMCPMC12615064

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